Healthcare Provider Details

I. General information

NPI: 1619781663
Provider Name (Legal Business Name): ANTHONY-BROWN PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2025
Last Update Date: 02/01/2025
Certification Date: 02/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4328 S BUFFALO ST
ORCHARD PARK NY
14127-2638
US

IV. Provider business mailing address

4328 S BUFFALO ST
ORCHARD PARK NY
14127-2638
US

V. Phone/Fax

Practice location:
  • Phone: 716-662-3800
  • Fax:
Mailing address:
  • Phone: 716-662-3800
  • Fax:

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: PATRICK MOOREHEAD
Title or Position: PIC
Credential:
Phone: 716-662-3800