Provider First Line Business Practice Location Address:
3495 BAILEY AVENUE PHARMACY #119 ATTN: KENNETH KELLICK
Provider Second Line Business Practice Location Address:
VETERANS AFFAIRS WESTERN NY HEALTHCARE SYSTEM
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-834-9200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/27/2016