Organization
PINE PHARMACY OF NIAGARA FALLS,LLC
Active
Parent organization
PINE PHARMACY OF NIAGARA FALLS,LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINE PHARMACY OF NIAGARA FALLS,LLC
Authorized official
MR. ALFONSE MUTO RPH (RPH/PARTNER)
(716) 282-1112
Entity
Organization
Contact information
Practice address
1806 PINE AVE, NIAGARA FALLS, NY 14301-2234
(716) 282-1112
(716) 282-0654
Mailing address
1806 PINE AVE, NIAGARA FALLS, NY 14301-2234
(716) 282-1112
(716) 282-0654
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/05/2009
Last updated
04/23/2014
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