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Organization
VILLAGE PHARMACY OF LOCKPORT, INC.
Active
Organization
VILLAGE PHARMACY OF LOCKPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYRUS ARDALAN RPH (SUPERVISING PHARMACIST)
(716) 796-5668
Entity
Organization
Contact information
Practice address
6478 RIDGE RD, LOCKPORT, NY 14094-1015
(716) 302-3434
(716) 727-3302
Mailing address
6478 RIDGE RD, LOCKPORT, NY 14094-1015
(716) 302-3434
(716) 727-3302
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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