Organization
CLARENCE PHARMACY LLC
Active
Other names
Clarence Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CLARY BS PHARMACY (SUPERVISING PHARMACIST)
(716) 407-3544
Entity
Organization
Contact information
Practice address
9500 MAIN ST STE 600, CLARENCE, NY 14031-1981
(716) 407-3544
(716) 407-3543
Mailing address
9500 MAIN ST STE 600, CLARENCE, NY 14031-1981
(716) 407-3544
(716) 407-3543
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034628
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04988758
—
NY
01
—
2160758
PK
—
Enumeration date
06/17/2016
Last updated
06/18/2025
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