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Organization

ROSWELL PARK PHARMACY CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY FERNANDO PHD, MBA, RPH (EXECUTIVE DIRECTOR, PHARMACY)
(716) 845-2903
Entity
Organization

Contact information

Practice address
ELM & CARLTON STS., BUFFALO, NY 14263
(716) 845-8999
(716) 845-8996
Mailing address
ELM & CARLTON STS., BUFFALO, NY 14263
(716) 845-8999
(716) 845-8996

Taxonomy

Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary

Other

Enumeration date
12/06/2018
Last updated
12/06/2018
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