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ECMC OUTER EAST SIDE HEALTH CENTER CO PHARMACY

Medical Equipment Supplier Yellow Pages

Buffalo, New York

Provider NPI: 1457458390

Organization Information:
Organization Name:  ECMC OUTER EAST SIDE HEALTH CENTER CO PHARMACY


Practice Location:
1500 BROADWAY ST  BUFFALO, NY 14212 US
Tel: 716-891-2015  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0002XSuppliers
Pharmacy
Clinic Pharmacy
NY018243

Other Provider Identifiers:

IssuerNumberStateType
OTHER ID NUMBER-COMMERCIAL NUMBER338121301
00245863NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




JOBS NY - Page 1

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