Organization
SENECA NATION OF INDIANS
Active
Parent organization
SENECA NATION OF INDIANS
Other names
Lionel R John Health Center - Pharmacy, Lionel R John Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SENECA NATION OF INDIANS
Authorized official
SHAELA MAYBEE (CEO)
(716) 532-5582
Entity
Organization
Contact information
Practice address
987 R C HOAG DR, SALAMANCA, NY 14779-1365
(716) 945-5894
(716) 242-6345
Mailing address
987 R C HOAG DR, SALAMANCA, NY 14779-1365
(716) 945-5894
(716) 242-6345
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
015856
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015856
NYS PHARMACY LICENSE
NY
05
—
01649476
—
NY
01
—
3300960
NABP
NY
Enumeration date
10/31/2006
Last updated
04/21/2025
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