Healthcare Provider Details

I. General information

NPI: 1134286966
Provider Name (Legal Business Name): ASSOCIATED HEALTHCARE SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 07/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 MAIN ST
BUFFALO NY
14203-1014
US

IV. Provider business mailing address

8730 HARRIS RD UNIT 204
BAKERSFIELD CA
93311-8990
US

V. Phone/Fax

Practice location:
  • Phone: 716-886-7337
  • Fax: 716-883-5797
Mailing address:
  • Phone: 661-396-3720
  • Fax: 661-832-6009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number023083
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER M KANE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 415-893-1518