# ROSWELL PARK CANCER INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871379586
- **Authorized official:** DR. CANDACE JOHNSON PHD (PRESIDENT AND CEO)
- **Authorized official phone:** (716) 845-5772

## Contact information

- **Practice address:** 203 PARK CLUB LANE, C/O PHARMACY, WILLIAMSVILLE, NY 14221
- **Practice address phone:** (716) 845-2946
- **Practice address fax:** (716) 845-2955
- **Mailing address:** ELM AND CARLTON ST, BUFFALO, NY 14263-0001
- **Mailing address phone:** (716) 845-5785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2023
- **Last updated:** 07/15/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00354518 | — | NY |