Organization
NICKEL CITY PHARMACY INC
Active
Other names
The Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CYRUS ARDALAN RPH (MANAGER)
(716) 824-5200
Entity
Organization
Contact information
Practice address
1791 S PARK AVE, BUFFALO, NY 14220-1411
(716) 823-8300
(716) 823-8301
Mailing address
1791 S PARK AVE, BUFFALO, NY 14220-1411
(716) 823-8300
(716) 823-8301
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
027834
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2068106
PK
—
05
—
2768812
—
NY
Enumeration date
08/18/2006
Last updated
09/02/2025
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