Organization
CASEYS PRESCRIPTION PAD INC
Active
Other names
Casey's Prescription Pad, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER DERCK (PRESIDENT)
(716) 926-9044
Entity
Organization
Contact information
Practice address
5844 SOUTHWESTERN BLVD STE 300, HAMBURG, NY 14075
(716) 926-9044
(716) 926-9028
Mailing address
5844 SOUTHWESTERN BLVD STE 300, HAMBURG, NY 14075-3684
(716) 926-9044
(716) 926-9028
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
031469
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03737657
—
NY
01
—
2137096
PK
—
Enumeration date
09/24/2012
Last updated
09/19/2025
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