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Organization
ELDERWOOD SENIOR CARE
Active
Organization
ELDERWOOD SENIOR CARE
Active
Other names
BIRCHWOOD HEALTH CARE CENTER PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LUIDWIG (DIRECTOR)
(716) 631-3381
Entity
Organization
Contact information
Practice address
4800 BEAR RD, LIVERPOOL, NY 13088-4604
(315) 457-9946
(716) 631-8732
Mailing address
1142 WEHRLE DR, WILLIAMSVILLE, NY 14221-7748
(716) 631-3381
(716) 631-8732
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
024388
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3322322
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/14/2006
Last updated
04/23/2010
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