Organization
NIAGARA APOTHECARY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE M LATKO RPH (OWNER/PHARMACIST)
(716) 297-3530
Entity
Organization
Contact information
Practice address
8745 NIAGARA FALLS BLVD., NIAGARA FALLS, NY 14304-1933
(716) 297-3530
(716) 297-3950
Mailing address
8745 NIAGARA FALLS BLVD., NIAGARA FALLS, NY 14304-1933
(716) 297-3530
(716) 297-3950
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
023249
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02094273
—
NY
01
—
3322601
NCPCP
—
Enumeration date
07/30/2006
Last updated
03/15/2024
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