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
Fax: (315) 539-9347
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518097534 NPPES
New York MEDICAID 02820895

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