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Organization
IVYLEA PHARMACY INC
Active
Organization
IVYLEA PHARMACY INC
Active
Other names
Ivylea Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES PETER BARONE (OWNER)
(716) 873-1444
Entity
Organization
Contact information
Practice address
2446 ELMWOOD AVE, KENMORE, NY 14217-2244
(716) 873-1444
(716) 873-5496
Mailing address
2446 ELMWOOD AVE, KENMORE, NY 14217-2244
(716) 873-1444
(716) 873-5496
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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