Organization
MODEN-GIROUX INC
Active
Other names
TRANSIT HILL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WALSH RPH (SUPERVISING PHARMACIST)
(716) 683-9444
Entity
Organization
Contact information
Practice address
6344 TRANSIT RD, DEPEW, NY 14043-1031
(716) 683-9444
(716) 683-9425
Mailing address
6344 TRANSIT RD, DEPEW, NY 14043-1031
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
019919
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01092286
—
NY
01
—
3392292
OTHER ID NUMBER
—
Enumeration date
09/27/2006
Last updated
09/13/2007
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