Buffalo Prescription Shop
LBN: Buffalo Prescription Shop, Inc
Buffalo Prescription Shop is an health care organization with primary practice located at 431 Fort St , Buffalo WY 82834-1805. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Buffalo Prescription Shop, Inc can be contacted via phone (307) 684-7003, or through Maertens, Tom Allen via phone (307) 684-7003.
Contact Information
Primary practice address
431 Fort St
Buffalo WY 82834-1805
Phone: (307) 684-7003
Fax: (307) 684-7348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5200112 | Wyoming |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1003995788 |
|---|---|
| LBN Legal business name | Buffalo Prescription Shop, Inc |
| DBA Doing business as | Buffalo Prescription Shop |
| Authorized official | Maertens, Tom Allen RPH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Oct 22nd, 2018 - about 7 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 | 1003995788 | NPPES |
| Other | 2111130 | PK | |
| MEDICAID | 106888100 | PK |
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