Provider Information for 1356520662
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PATIENTS PHARMACY INC
Other Names:Doing Business As:PATIENTS PHARMACY INCOrganization Subpart: NO
NPI: 1356520662
Last Updated: 2024-03-12
Certification Date: 2024-03-12
Certification Date: 2024-03-12
Details
| Name | Value | ||||||||||||||||
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| NPI | 1356520662 | ||||||||||||||||
| Enumeration Date | 2007-11-02 | ||||||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Authorized Official Information | Name: DIANE MATHEWS Title: President Phone: 7164836913 | ||||||||||||||||
| Mailing Address | PO BOX 170 JAMESTOWN, NY 14702-0170 United States Phone: 716-483-6913 | Fax:716-483-2554 | ||||||||||||||||
| Primary Practice Address | 707 FAIRMOUNT AVE STE 6 JAMESTOWN, NY 14701-2623 United States Phone: 716-483-6913 | Fax:716-483-2554 | ||||||||||||||||
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