Organization
SHERMAN AREA PHARMACY INC
Active
Other names
Sherman Area Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTAN NYWEIDE (PRESIDENT /OWNER)
(716) 969-4334
Entity
Organization
Contact information
Practice address
105 W MAIN ST, SHERMAN, NY 14781
(716) 761-6876
(716) 761-6224
Mailing address
8629 HIGHLAND AVE, BROCTON, NY 14716-9713
(716) 969-4334
(716) 761-6224
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
034331
NY
3336C0003X
Community/Retail Pharmacy
34331
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2156088
PK
—
Enumeration date
04/15/2016
Last updated
04/30/2021
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