Healthcare Provider Details

I. General information

NPI: 1639081599
Provider Name (Legal Business Name): RUTOWSKI OF ALDEN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13203 BROADWAY ST
ALDEN NY
14004-1312
US

IV. Provider business mailing address

13203 BROADWAY ST
ALDEN NY
14004-1312
US

V. Phone/Fax

Practice location:
  • Phone: 716-937-9818
  • Fax: 716-937-4073
Mailing address:
  • Phone: 716-937-9818
  • Fax: 716-937-4073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOHN FRANCIS RUTOWSKI
Title or Position: OWNER
Credential:
Phone: 716-652-3920