# 4800 BEAR ROAD OPERATING COMPANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 4800 BEAR ROAD OPERATING COMPANY, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316370091
- **Legal business name:** 4800 BEAR ROAD OPERATING COMPANY, LLC
- **Authorized official:** DR. JEFFREY RUBIN (CO- CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (716) 817-5075

## Contact information

- **Practice address:** 4800 BEAR RD, LIVERPOOL, NY 13088-4604
- **Practice address phone:** (315) 457-9946
- **Mailing address:** 500 SENECA ST STE 100, BUFFALO, NY 14204-1963
- **Mailing address phone:** (716) 633-3900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 031933 | NY | Yes |

## Other

- **Enumeration date:** 08/16/2013
- **Last updated:** 01/19/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 031933 | STATE PHARMACY BOARD REGISTRATION | NY |