Organization
JOHN, ROSS L., SR. NATIVE PHARMACEUTICAL DIRECT
Active
Other names
Native Pharmaceutical Direct
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROSS L. JOHN SR. (OWNER)
(716) 945-6712
Entity
Organization
Contact information
Practice address
77 MAIN STREET, THE SOVEREIGN SENECA NATION, SALAMANCA, NY 14779
(716) 945-6712
(716) 945-1520
Mailing address
77 MAIN STREET, THE SOVEREIGN SENECA NATION, SALAMANCA, NY 14779
(716) 945-6712
(716) 945-1520
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
026965
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02662577
—
NY
01
—
3342146
NCPDP
—
Enumeration date
10/11/2006
Last updated
08/22/2020
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