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Individual

ARTHUR E FATUROS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
1381 NASH RD, NORTH TONAWANDA, NY 14120-2338
(716) 694-0022
Mailing address
528 WHITEHAVEN RD, GRAND ISLAND, NY 14072-1935
(716) 773-3672

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23884
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01818735
NY
Enumeration date
11/27/2007
Last updated
11/27/2007
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