Healthcare Provider Details

I. General information

NPI: 1194745307
Provider Name (Legal Business Name): BUFFALO PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 02/16/2024
Certification Date: 02/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1479 KENSINGTON AVE
BUFFALO NY
14215-1436
US

IV. Provider business mailing address

1479 KENSINGTON AVE
BUFFALO NY
14215-1436
US

V. Phone/Fax

Practice location:
  • Phone: 716-832-0599
  • Fax: 716-832-1244
Mailing address:
  • Phone: 716-832-0599
  • Fax: 716-832-1244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code224900000X
TaxonomyMastectomy Fitter
License Number
License Number StateNULL

VIII. Authorized Official

Name: TRENT VOELKL
Title or Position: VICE PRESIDENT
Credential:
Phone: 716-832-0599