Organization
CLINTON PHARMACY , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CYRUS ARDALAN RPH, PHARMACIST (OWNER)
(716) 824-5200
Entity
Organization
Contact information
Practice address
2032 CLINTON ST, BUFFALO, NY 14206-3312
(716) 824-5200
(716) 824-5201
Mailing address
2032 CLINTON ST, BUFFALO, NY 14206-3312
(716) 824-5200
(716) 824-5201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
026368
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02494342
—
NY
Enumeration date
04/26/2007
Last updated
03/07/2022
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