Healthcare Provider Details

I. General information

NPI: 1164629366
Provider Name (Legal Business Name): TOPS MARKETS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 06/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6363 MAIN ST
WILLIAMSVILLE NY
14221-5855
US

IV. Provider business mailing address

PO BOX 1027
BUFFALO NY
14240-1027
US

V. Phone/Fax

Practice location:
  • Phone: 716-635-5276
  • Fax: 716-635-5953
Mailing address:
  • Phone: 716-635-5276
  • Fax: 716-635-5953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: FRANK WOLFF
Title or Position: DIRECTOR PHARMACY
Credential:
Phone: 716-635-5275