Organization
ASSOCIATED HEALTHCARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN G RUSSELL RPH (PHARMACY DIRECTOR)
(716) 886-7337
Entity
Organization
Contact information
Practice address
1031 MAIN ST, BUFFALO, NY 14203-1014
(716) 886-7337
(716) 883-7629
Mailing address
1031 MAIN ST, BUFFALO, NY 14203-1014
(716) 886-7337
(716) 883-7629
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
023083
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01701959
—
NY
Enumeration date
08/25/2006
Last updated
08/22/2020
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