Healthcare Provider Details

I. General information

NPI: 1235162819
Provider Name (Legal Business Name): METCARE RX SHEEHAN PHARMACEUTICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 MICHIGAN AVE
BUFFALO NY
14203-2209
US

IV. Provider business mailing address

425 MICHIGAN AVE
BUFFALO NY
14203-2209
US

V. Phone/Fax

Practice location:
  • Phone: 716-848-2170
  • Fax: 716-848-2171
Mailing address:
  • Phone: 716-848-2170
  • Fax: 716-848-2171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GINA HUNT
Title or Position: SENIOR VP CORPORATE REVENUE
Credential:
Phone: 954-653-1040