MEDICARE: BUFFALO CLINICAL SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	020026	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2065524	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366487894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUFFALO CLINICAL SERVICES INC

Provider Business Mailing Address
First Line	:	1769 ORCHARD PARK RD
Second Line	:
City	:	WEST SENECA
State	:	NY
Zip	:	14224-4624
Country	:	US
Telephone Number	:	716-675-4133
Fax Number	:	716-675-1314

Provider Business Practice Location Address
First Line	:	1769 ORCHARD PARK RD
Second Line	:
City	:	WEST SENECA
State	:	NY
Zip	:	14224-4624
Country	:	US
Telephone Number	:	716-675-4133
Fax Number	:	716-675-1314

Authorized Official
Title or Position	:	OWNER PHARMACIST
Name	:	GREGORY NOTARO
Credential	:
Telephone Number	:	716-675-4133

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	12/18/2016

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Directions to “BUFFALO CLINICAL SERVICES INC ” Practice Location

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