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Organization
SUMMIT PARK PHARMACY INC
Active
Organization
SUMMIT PARK PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER SAULS RPH (SUPERVISING PHARMACIST)
(716) 731-3500
Entity
Organization
Contact information
Practice address
2578 NIAGARA FALLS BLVD, SUITE 100, NIAGARA FALLS, NY 14304-4681
(716) 297-7151
(716) 297-7110
Mailing address
2578 NIAGARA FALLS BLVD, SUITE 100, NIAGARA FALLS, NY 14304-4681
(716) 297-7151
(716) 297-7110
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
027337
NY
3336C0003X
Community/Retail Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2728921
—
NY
01
—
3349443
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
05/15/2023
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