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Organization
EHS, INC.
Active
Organization
EHS, INC.
Active
Other names
The Pharmacy at Evergreen
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ANNE STACK (AVP OF REVENUE CYCLE MGMT)
(716) 880-7399
Entity
Organization
Contact information
Practice address
206 SOUTH ELMWOOD AVE, BUFFALO, NY 14201
(716) 541-0656
(716) 541-0661
Mailing address
206 SOUTH ELMWOOD AVE, BUFFALO, NY 14201
(716) 541-0656
(716) 541-0661
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
NULL
3336C0003X
Community/Retail Pharmacy
030723
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03370596
—
NY
01
—
2131014
PK
—
Enumeration date
07/11/2011
Last updated
11/29/2022
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