BLACK ROCK PHARMACY INC NPI 1457917544

NPI Information

BLACK ROCK PHARMACY INC is a long term care pharmacy pharmacy in Buffalo, NY. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. BLACK ROCK PHARMACY INC NPI is 1457917544. The provider is registered as an organization entity type.

The provider's business location address is:

431 TONAWANDA ST
BUFFALO, NY
ZIP 14207-625
Phone: (716) 876-3070
Fax: (716) 876-7464

The provider's authorized official is Bradley John Arthur .
The authorized official title is Owner and has the following contact phone number (716) 876-3070.

The CLIA number assigned to this NPI record is 33D2184223 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2019 and was last updated on 5/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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