Ivylea Pharmacy INC

NPI #1144324104 in Kenmore, New York

Provider Information

NPI Number
1144324104
Entity Type
Organization
Organization Name
Ivylea Pharmacy INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 12, 2006
Last Updated
Apr 17, 2017

Practice Location

Address
2446 ELMWOOD AVE
ZIP Code
14217-2244
Phone
(716) 873-1444

Authorized Official

Name
CHARLES BARONS, DOCTOR OF PHARM
Title
SUPERVISING PHARMACIST
Phone
(716) 873-1444

Specialties & Taxonomy Codes

Specialty
Pharmacy - Compounding PharmacyCompounding Pharmacy
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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