NPI Database
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Contact Information

BUFFALO PRESCRIPTION SHOP, INC
431 FORT ST
BUFFALO, WY82834-1805
 Phone: 307-684-7003
 Fax: 307-684-7348
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BUFFALO PRESCRIPTION SHOP, INC

NPI Number 1003995788
LBN Legal business name BUFFALO PRESCRIPTION SHOP, INC
Authorized official TOM MAERTENS - (OWNER/PHARMACIST-IN-CHARGE)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2006
Last updated 10/22/2018 - About 8 years ago
Identifiers
WY License # 5200112
WY Medicaid 106888100
Other 2111130 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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