Blackrock Pharmacy
LBN: Black Rock Pharmacy Inc
Blackrock Pharmacy is an health care organization with primary practice located at 431 Tonawanda St , Buffalo NY 14207-2625. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Black Rock Pharmacy Inc can be contacted via phone (716) 876-3070, or through Arthur, Bradley via phone (716) 876-3070.
Contact Information
Primary practice address
431 Tonawanda St
Buffalo NY 14207-2625
Phone: (716) 876-3070
Fax: (716) 876-7464
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 014228 | New York |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1568418614 |
|---|---|
| LBN Legal business name | Black Rock Pharmacy Inc |
| DBA Doing business as | Blackrock Pharmacy |
| Authorized official | Arthur, Bradley RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Nov 1st, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568418614 | NPPES |
| New York | MEDICAID | 00591864 | |
| New York | Other | 2059333 |
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