Organization
MODEN GIROUX INC
Active
Other names
Middleport Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN L. GIROUX RPH (PRESIDENT AND CEO)
(716) 735-3261
Entity
Organization
Contact information
Practice address
81 TELEGRAPH RD, MIDDLEPORT, NY 14105-9638
(716) 735-3261
(716) 735-3351
Mailing address
PO BOX 188, MIDDLEPORT, NY 14105-0188
(716) 735-3261
(716) 735-3351
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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