Organization
MARIAN MEDICAL PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES NOTARO RPH (PRESIDENT)
(716) 823-7374
Entity
Organization
Contact information
Practice address
515 ABBOTT RD, BUFFALO, NY 14220-1700
(716) 823-7374
Mailing address
515 ABBOTT RD, BUFFALO, NY 14220-1700
(716) 823-7374
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
021336
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01400095
—
NY
01
—
021336
STATE LICENSE #
NY
01
—
3332260
NAPB NUMBER
NY
Enumeration date
09/14/2006
Last updated
02/02/2011
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