Organization
PARKVIEW WEST SIDE RX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN WACLAWEK PHARMD (COO)
(716) 876-2323
Entity
Organization
Contact information
Practice address
1050 NIAGARA ST STE 110, BUFFALO, NY 14213-2001
(716) 710-8123
(716) 710-7329
Mailing address
1050 NIAGARA ST STE 110, BUFFALO, NY 14213-2001
(716) 710-8123
(716) 710-7329
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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