Black Rock Pharmacy Inc
Director
							Chester H Fox, M.D.
			Expiration Date
							Phone Number
							(716) 876-3070
			UID (Facility ID - Site ID)
							Y835-0000
			Site ID
							0000
			City
							Buffalo
			CLIA Number
							33D2184223
			Street Address
							431 Tonawanda St
			State
							NY
			Zip Code
							14207
			County
							Erie
			Country
							United States
			Fax Number
							(716) 876-7464
			Primary Contact
							Bradley Arthur
			Contact Phone Number
							(716) 870-7150
			Certificate Type
							WAIVER
			Tests
				COVID-19 ANTIGEN
							Community Screening
							COVID-19 MOLECULAR
					Facility ID
							Y835
			