Organization
IVYLEA PHARMACY INC
Active
Other names
IVYLEA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BARONS DOCTOR OF PHARM (SUPERVISING PHARMACIST)
(716) 873-1444
Entity
Organization
Contact information
Practice address
2446 ELMWOOD AVE, KENMORE, NY 14217-2244
(716) 873-1444
(716) 873-5496
Mailing address
2446 ELMWOOD AVE, KENMORE, NY 14217-2244
(716) 873-1444
(716) 873-5496
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
028936
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03125197
—
NY
01
—
2059325
PK
—
05
—
3125197
—
NY
Enumeration date
09/12/2006
Last updated
04/17/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us