Organization
STATE OF NEW YORK
Active
Other names
State University of New York at Buffalo
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED REIMAN (SUPERVISING PHARMACIST)
(716) 645-2827
Entity
Organization
Contact information
Practice address
201 KAPOOR HALL, BUFFALO, NY 14214-8033
(716) 645-2827
(716) 645-6094
Mailing address
201 KAPOOR HALL, BUFFALO, NY 14214-8033
(716) 645-2827
(716) 645-6094
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
000021
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137137
PK
—
Enumeration date
11/02/2012
Last updated
06/22/2016
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