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Contact Information

JOHN, ROSS L., SR. NATIVE PHARMACEUTICAL DIRECT
77 MAIN STREET
THE SOVEREIGN SENECA NATION
SALAMANCA, NY14779
 Phone: 716-945-6712
 Fax: 716-945-1520
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for JOHN, ROSS L., SR. NATIVE PHARMACEUTICAL DIRECT

NPI Number 1184713091
LBN Legal business name JOHN, ROSS L., SR. NATIVE PHARMACEUTICAL DIRECT
Authorized official ROSS JOHN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/11/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NY License # 026965
NY Medicaid 02662577
Other 3342146 NCPDP
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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