Organization
ELDERWOOD SENIOR CARE
Active
Other names
MAPLEWOOD HEALTH CARE CTR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LUDWIG (DIRECTOR)
(716) 631-3381
Entity
Organization
Contact information
Practice address
225 BENNETT RD, CHEEKTOWAGA, NY 14227-1528
(716) 681-9480
(716) 631-8732
Mailing address
1142 WEHRLE DR, WILLIAMSVILLE, NY 14221-7748
(716) 631-3381
(716) 631-8732
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
025363
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3329871
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/14/2006
Last updated
04/23/2010
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