Healthcare Provider Details

I. General information

NPI: 1316859275
Provider Name (Legal Business Name): RUTOWSKI OF KENMORE 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

2818 DELAWARE AVE
KENMORE NY
14217-2704
US

IV. Provider business mailing address

2818 DELAWARE AVE
KENMORE NY
14217-2704
US

V. Phone/Fax

Practice location:
  • Phone: 716-874-6360
  • Fax: 716-874-6369
Mailing address:
  • Phone: 716-874-6360
  • Fax: 716-874-6369

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