NPI | 1992540546 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL POGODOZINSKI Director, Outpatient Pharmacy 716-859-7034 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
3336S0011X Pharmacy Specialty Pharmacy | |
Enumeration Date | 2024-06-26 |
Last Update Date | 2024-06-26 |