Organization
DEXTER PRESCRIPTION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL L REWHART RPH (PRESIDENT)
(716) 885-7878
Entity
Organization
Contact information
Practice address
1453 JEFFERSON AVE, BUFFALO, NY 14208
(716) 885-7878
(716) 885-4412
Mailing address
1453 JEFFERSON AVE, BUFFALO, NY 14208
(716) 885-7878
(716) 885-4412
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
017951
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00801978
—
NY
Enumeration date
08/25/2006
Last updated
11/07/2020
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