Provider Demographics
NPI:1134639677
Name:PHARMACY IN THE SQUARE INC.
Entity Type:Organization
Organization Name:PHARMACY IN THE SQUARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:P
Authorized Official - Last Name:TODORO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:716-671-5281
Mailing Address - Street 1:940 UNION RD
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-3425
Mailing Address - Country:US
Mailing Address - Phone:716-671-5281
Mailing Address - Fax:716-671-5323
Practice Address - Street 1:940 UNION RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3425
Practice Address - Country:US
Practice Address - Phone:716-671-5281
Practice Address - Fax:716-671-5323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-11
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy