Bugman, Tara Victoria
Bugman, Tara Victoria is an individual health care provider with primary practice located at 1963 Kingdom Plz , Waterloo NY 13165-8437. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Bugman, Tara Victoria can be contacted via phone (315) 539-5056.Contact Information
Primary practice address
1963 Kingdom Plz
Waterloo NY 13165-8437
Phone: (315) 539-5056
Fax: (315) 539-9347
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 051041 | New York |
Profile Details
NPI number | 1518097534 |
---|---|
LBN Legal business name | Bugman, Tara Victoria |
Credentials | PHARMD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 7th, 2007 |
Last updated | Dec 18th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518097534 | NPPES |
New York | MEDICAID | 02820895 |
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