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Organization
KALEIDA HEALTH LTC PHARMACY
Active
Organization
KALEIDA HEALTH LTC PHARMACY
Active
Other names
DeGraff Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA OWEN (KALEIDA HEALTH VICE PRESIDENT)
(716) 690-2004
Entity
Organization
Contact information
Practice address
445 TREMONT ST, NORTH TONAWANDA, NY 14120-6150
(716) 690-2233
(716) 690-2582
Mailing address
PO BOX 8000, DEPT # 440, BUFFALO, NY 14267-0002
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
025380
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354247
—
NY
01
—
025380
NY PHARMACY REGISTRATION
NY
01
—
3356462
NABP (NCPDP)
NY
Enumeration date
04/25/2007
Last updated
03/07/2023
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