Organization
RUTOWSKI OF EAST AURORA INC
Active
Other names
Larwood Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN FRANCIS RUTOWSKI R.PH. (PRES)
(716) 652-1360
Entity
Organization
Contact information
Practice address
597 OAKWOOD AVE, EAST AURORA, NY 14052-2333
(716) 652-1360
(716) 655-0132
Mailing address
597 OAKWOOD, EAST AURORA, NY 14052
(716) 652-1360
(716) 655-0132
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
008425
NY
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00607992
—
NY
05
—
1952347403
—
NY
01
—
2057148
PK
—
Enumeration date
06/22/2006
Last updated
10/20/2021
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