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Organization
CRESTWOOD HEALTH CARE CENTER INC
Active
Organization
CRESTWOOD HEALTH CARE CENTER INC
Active
Other names
CRESTWOOD HCC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LUDWIG (DIRECTOR)
(716) 631-3381
Entity
Organization
Contact information
Practice address
2600 NIAGARA FALLS BLVD, NIAGARA FALLS, NY 14304-4560
(716) 215-8000
(716) 631-3097
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
025365
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3327865
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/14/2006
Last updated
04/23/2010
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