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General NPI Number Information
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NPI Number | 1346439924
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Entity Type | Organization
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Legal Business Name | SENECA PHARMACY OF WNY INC
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Dates
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Enumeration Date | 10/18/2007
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1979 SENECA ST
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City | BUFFALO
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State | NY
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Zip | 14210-2352
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Country | US
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Telephone | 716-827-4900
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Fax | 716-827-4901
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Provider Business Mailing Address
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Address Line | 1979 SENECA ST
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City | BUFFALO
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State | NY
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Zip | 14210-2387
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Country | US
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Telephone | 716-827-4900
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Fax | 716-827-4901
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Authorized Official
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Title or Position | OWNER
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Name | TRACY ARDALAN
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Credential |
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Telephone | 716-827-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 028552
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License Number State | NY
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