Provider Demographics
NPI:1780743310
Name:FAMILY PHARMACEUTICAL SERVICES LLC
Entity type:Organization
Organization Name:FAMILY PHARMACEUTICAL SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZELINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-630-8667
Mailing Address - Street 1:100 HIGH STREET
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1154
Mailing Address - Country:US
Mailing Address - Phone:716-859-1570
Mailing Address - Fax:716-859-1574
Practice Address - Street 1:100 HIGH STREET
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1154
Practice Address - Country:US
Practice Address - Phone:716-859-1570
Practice Address - Fax:716-859-1574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0224443336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01546336Medicaid
3301152OtherNABP
NY01546336Medicaid