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Organization
WURLITZER FAMILY PHARMACY INC.
Active
Organization
WURLITZER FAMILY PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY GIROUX (CFO/OWNER)
(716) 260-1131
Entity
Organization
Contact information
Practice address
521 DIVISION ST, NORTH TONAWANDA, NY 14120-4403
(716) 260-1131
(716) 260-1132
Mailing address
521 DIVISION ST, NORTH TONAWANDA, NY 14120-4403
(716) 260-1131
(716) 260-1132
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
031707
NY
333600000X
Pharmacy
031707
NY
3336C0003X
Community/Retail Pharmacy
Primary
031707
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03776354
—
NY
Enumeration date
02/28/2013
Last updated
05/26/2021
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