Organization
PHARMADVA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN SACKS (CEO)
(585) 820-4360
Entity
Organization
Contact information
Practice address
150 LUCIUS GORDON DR, SUITE 209, WEST HENRIETTA, NY 14586-9687
(585) 820-4360
Mailing address
150 LUCIUS GORDON DR, SUITE 209, WEST HENRIETTA, NY 14586-9687
(585) 820-4360
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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