Healthcare Provider Details

I. General information

NPI: 1174435028
Provider Name (Legal Business Name): RUTOWSKI OF EAST AURORA 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

597 OAKWOOD AVE
EAST AURORA NY
14052-2333
US

IV. Provider business mailing address

597 OAKWOOD AVE
EAST AURORA NY
14052-2333
US

V. Phone/Fax

Practice location:
  • Phone: 716-652-1360
  • Fax: 716-655-0132
Mailing address:
  • Phone: 716-652-1360
  • Fax: 716-655-0132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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