Organization
SPRINGVILLE PHARMACY LLC
Active
Other names
Springville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ROBERTS (OWNER/PHARMACIST)
(716) 592-2026
Entity
Organization
Contact information
Practice address
13 E MAIN ST, SPRINGVILLE, NY 14141-1229
(716) 592-2026
(716) 592-2028
Mailing address
13 E MAIN ST, SPRINGVILLE, NY 14141-1229
(716) 592-2026
(716) 592-2028
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05764223
—
NY
Enumeration date
02/18/2019
Last updated
11/12/2021
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