Associated Healthcare Pharmacy

Organization Active NPI Community/Retail Pharmacy · Buffalo, NY

NPI 1164539938 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1164539938
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
023083 (NY)
Legal business name
ASSOCIATED HEALTHCARE PHARMACY
Practice address
1031 Main St
Buffalo, NY 14203-1014
Phone
(716) 886-7337
Fax
(716) 883-7629
NPI assigned
Aug 25, 2006
Organization subpart
No

Authorized official

Name
Mr. John G Russell, RPH
Title
Pharmacy Director
Phone
(716) 886-7337

Corporate family (same tax ID) 13

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Associated Healthcare (14 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 023083 NY Yes

Addresses

Primary practice location

1031 Main St
Buffalo, NY 14203-1014

Mailing address

1031 Main St
Buffalo, NY 14203-1014
Phone (716) 886-7337

Other identifiers

IdentifierTypeStateIssuer
01701959MedicaidNY

Other providers in Buffalo, NY

All providers in Buffalo, NY · Community/Retail Pharmacy in New York

Sources for this page

Verify at the official NPI Registry.