Organization
CLINICAL SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES NOTARO (PRESIDENT)
(716) 541-0273
Entity
Organization
Contact information
Practice address
701 SENECA ST, #310, BUFFALO, NY 14210-1351
(716) 541-0273
Mailing address
701 SENECA ST, #310, BUFFALO, NY 14210-1351
(716) 541-0273
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
060422
NY
3336C0003X
Community/Retail Pharmacy
060422
NY
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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