2121 Main St Pharmacy Inc

NPI 1043379720 - Pharmacy - 3336L0003X

NPI Details
NPI 1043379720
Enumeration Date 12/08/2006
Last Updated 09/14/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name CHRISTINE CHRISTINE
Position PRESIDENT
Phone (716) 601-3333
Fax (716) 424-1345
Practice Location
25 GARDENVALE DR
CHEEKTOWAGA NY, 14227, US
Phone (716) 601-3333
Fax (716) 424-1345
Business Location
25 GARDENVILLE PKWY
BUFFALO NY, 14224-1321, US
Phone
Fax
Toxanomy
Taxonomy Code 3336L0003X
License State New York
License Number 020979
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According to our database, 2121 Main St Pharmacy Inc NPI is 1043379720, taxonomy code is 3336L0003X and license number is 020979, license state is located at New York. 2121 Main St Pharmacy Inc physically located at 25 Gardenvale Dr, Cheektowaga NY, 14227. NPI Number 1033115704 has the healthcare provider type.

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1043379720 NPI number is provided on an as is basis without warranty of any kind. 1043379720 is maintained by the National Plan & Provider Enumeration System. The contents of 2121 Main St Pharmacy Inc are for informational purposes only.