Healthcare Provider Details

I. General information

NPI: 1780326488
Provider Name (Legal Business Name): EXPERTSRX PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3871 HARLEM RD STE 201
BUFFALO NY
14215-1946
US

IV. Provider business mailing address

3871 HARLEM RD STE 201
BUFFALO NY
14215-1946
US

V. Phone/Fax

Practice location:
  • Phone: 716-308-3886
  • Fax: 716-306-3833
Mailing address:
  • Phone: 716-308-3886
  • Fax: 800-250-2099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MIKHAIL NASKHLETASHVILI
Title or Position: OWNER
Credential:
Phone: 716-306-3886