Organization
PARKVIEW NIAGARA STREET, LLC
Active
Other names
Riverview Professional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN T WACLAWEK PHARMD (COO)
(716) 876-2323
Entity
Organization
Contact information
Practice address
3920 MAIN ST STE 150, AMHERST, NY 14226-3350
(716) 423-2313
(716) 423-2329
Mailing address
3920 MAIN ST STE 150, AMHERST, NY 14226-3350
(716) 423-2313
(716) 423-2329
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
036719
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036719
STATE PHARMACY REGISTRATION
NY
Enumeration date
07/30/2018
Last updated
08/07/2024
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