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State of New York — NPI 1336493014, Buffalo, NY | NPI Central

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NPI 1336493014

OrganizationActive

State of New York

NPI 1336493014 · Compounding Pharmacy · Buffalo, NY

Provider details

NPI number: 1336493014
Entity type: Organization
Primary specialty: Compounding PharmacySuppliers
Organization subpart: No
Authorized official: Alfred Reiman, Supervising Pharmacist(716) 645-2827

Specialties & taxonomies

Compounding PharmacyPrimary3336C0004XLicense 000021 (NY)
Suppliers
Specialty Pharmacy3336S0011X
Suppliers
Pharmacy333600000X
Suppliers
Clinic Pharmacy3336C0002X
Suppliers

Practice location

201 Kapoor Hall

Buffalo, NY 14214-8033

Phone: (716) 645-2827

Fax: (716) 645-6094

Approximate (ZIP-level) locationGet directions

More NY providers

Mailing address

201 Kapoor Hall

Buffalo, NY 14214-8033

Other names (DBA / former)

Doing business as: State University of New York at Buffalo

Registry dates

Enumerated: 2012-11-02
Last updated: 2016-06-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.