Organization
BUFFALO PHARMACY MANAGEMENT, INC
Active
Other names
Medic Pharmacy & Gifts
Organization subpart
No
Provider details
NPI number
Authorized official
GREG HUENERGARDT (PRESIDENT)
(580) 938-2854
Entity
Organization
Contact information
Practice address
506 N HOY, BUFFALO, OK 73834
(580) 735-2161
(580) 735-2230
Mailing address
PO BOX 679, BUFFALO, OK 73834-0679
(580) 735-2161
(580) 735-2230
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
716715
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200123240C
—
OK
01
—
2145565
PK
—
Enumeration date
05/05/2014
Last updated
10/29/2021
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