Organization
NEWFANE PHARMACY INC.
Active
Other names
Newfane Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
CYRUS ARDALAN (OWNER)
(716) 778-0600
Entity
Organization
Contact information
Practice address
2780 MAIN ST, NEWFANE, NY 14108-1237
(716) 778-0600
(716) 778-0601
Mailing address
2780 MAIN STREET, NEWFANE, NY 14108
(716) 778-0600
(716) 778-0601
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
031310
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04170870
—
NY
01
—
2134524
PK
—
Enumeration date
02/07/2012
Last updated
09/19/2025
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