Corner Drug Store
LBN: Buffalo Professional Pharmacy Inc
Corner Drug Store is an health care organization with primary practice located at 308 W Dallas St , Buffalo MO 65622-7635. 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 Professional Pharmacy Inc can be contacted via phone (417) 345-6500, or through Nyberg, Al via phone (417) 345-6500.
Contact Information
Primary practice address
308 W Dallas St
Buffalo MO 65622-7635
Phone: (417) 345-6500
Fax: (417) 345-6565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 005240 | Missouri |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1831294792 |
|---|---|
| LBN Legal business name | Buffalo Professional Pharmacy Inc |
| DBA Doing business as | Corner Drug Store |
| Authorized official | Nyberg, Al |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jul 19th, 2018 - about 6 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 | 1831294792 | NPPES |
| Missouri | MEDICAID | 602895104 | |
| Missouri | Other | 2051305 |
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