Organization
ELLICOTTVILLE PHARMACY INC
Active
Parent organization
ELLICOTTVILLE PHARMACY INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLICOTTVILLE PHARMACY INC.
Authorized official
MR. BENJAMIN GILROY RPH (PRESIDENT)
(716) 699-2384
Entity
Organization
Contact information
Practice address
6133 ROUTE 219 S STE 1004, ELLICOTTVILLE, NY 14731-9613
(716) 699-2384
Mailing address
6133 ROUTE 219 S STE 1004, ELLICOTTVILLE, NY 14731-9613
(716) 699-2384
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
05/12/2020
Last updated
10/23/2023
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