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General NPI Number Information
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NPI Number | 1447271002
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Entity Type | Organization
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Legal Business Name | METCARE RX BUFFALO, INC.
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 462 GRIDER ST SUSSEX STREET ENTRANCE
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City | BUFFALO
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State | NY
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Zip | 14215-3021
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Country | US
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Telephone | 716-332-2866
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Fax | 716-332-2880
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Provider Business Mailing Address
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Address Line | 462 GRIDER ST SUSSEX STREET ENTRANCE
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City | BUFFALO
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State | NY
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Zip | 14215-3021
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Country | US
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Telephone | 716-332-2866
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Fax | 716-332-2880
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Authorized Official
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Title or Position | SENIOR VP CORPORATE REVENUE
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Name | GINA HUNT
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Credential |
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Telephone | 954-653-1040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 025521
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License Number State | NY
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