MEDICARE: BUFFALO PHARMACIES 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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

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

General Provider Information

NPI Number	:	1558384685
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUFFALO PHARMACIES INC

Provider Business Mailing Address
First Line	:	1479 KENSINGTON AVE
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14215-1436
Country	:	US
Telephone Number	:	716-832-0599
Fax Number	:	716-832-5214

Provider Business Practice Location Address
First Line	:	1479 KENSINGTON AVE
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14215-1436
Country	:	US
Telephone Number	:	716-832-7744
Fax Number	:	716-832-5214

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. TRENT MICHAEL VOELKL
Credential	:
Telephone Number	:	716-832-0599

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	07/19/2011

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