Organization
KALEIDA HEALTH LTC PHARMACY
Active
Other names
DeGraff Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA OWEN (KALEIDA HEALTH VICE PRESIDENT)
(716) 690-2004
Entity
Organization
Contact information
Practice address
445 TREMONT ST, NORTH TONAWANDA, NY 14120-6150
(716) 690-2233
(716) 690-2582
Mailing address
PO BOX 8000, DEPT # 440, BUFFALO, NY 14267-0002
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
025380
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354247
—
NY
01
—
025380
NY PHARMACY REGISTRATION
NY
01
—
3356462
NABP (NCPDP)
NY
Enumeration date
04/25/2007
Last updated
03/07/2023
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