Organization
VIC VENA PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR A VENA (PRESIDENT)
(716) 372-7761
Entity
Organization
Contact information
Practice address
1322 W STATE ST, OLEAN, NY 14760-2036
(716) 372-7761
(716) 372-4525
Mailing address
1322 W STATE ST, OLEAN, NY 14760-2036
(716) 372-7761
(716) 372-4525
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
018816
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00916596
—
NY
Enumeration date
05/26/2006
Last updated
04/05/2018
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