Peterson Drug Company of Newfane Ny, Inc.
Organization Active NPI Community/Retail Pharmacy · Newfane, NY
NPI 1215070172 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1215070172
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 009819 (NY)
- Legal business name
- PETERSON DRUG COMPANY OF NEWFANE NY, INC.
- Practice address
- 2740 Main St
Newfane, NY 14108-1206 - Phone
- (716) 778-7422
- Fax
- (716) 778-5289
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Glenn C. Peterson
- Title
- President
- Phone
- (716) 778-7422
Practitioners 2
-
David Allan Czachorowski, RPH.
National Provider Directory
Locations
2740 Main St
Newfane, NY 14108
Phone (716) 778-7422
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 009819 | NY | Yes |
Addresses
Primary practice location
2740 Main St
Newfane, NY 14108-1206
Mailing address
2740 Main St
Newfane, NY 14108-1206
Phone (716) 778-7422
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3341384 | Other | NY | NCPDP NUMBER |
| 00608177 | Medicaid | NY |
Other providers in Newfane, NY
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- Newfane Operations, LLC
- Newfane Pharmacy Inc.
- David William Parsons
- Patricia J. Danaher-Haag
- Dawn Angela Pirinelli
- Prayoon Prabharasuth
- Recovery Center of Niagara LLC
- Diane Marie Russell
- Ashraf M Sahaf
All providers in Newfane, NY · Community/Retail Pharmacy in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.