Organization
SPRINGCREEK PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J WIILIAMS RPH (OWNER/RPH)
(716) 592-9065
Entity
Organization
Contact information
Practice address
227 W MAIN ST, SPRINGVILLE, NY 14141-1017
(716) 592-9065
(716) 592-9064
Mailing address
227 W MAIN ST, SPRINGVILLE, NY 14141-1017
(716) 592-9065
(716) 592-9064
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
038947-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030176701
UNIVERA
NY
01
—
005513171
BCBS
NY
05
—
01973968
—
NY
01
—
10178460
FIDELIS
NY
01
—
8210881
IHA
NM
Enumeration date
09/28/2006
Last updated
02/24/2011
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