Provider Demographics
NPI:1447396106
Name:3-BAR INC
Entity Type:Organization
Organization Name:3-BAR INC
Other - Org Name:BUCKEYE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:BARTELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-533-3549
Mailing Address - Street 1:12 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-1127
Mailing Address - Country:US
Mailing Address - Phone:330-533-3549
Mailing Address - Fax:330-533-8709
Practice Address - Street 1:12 N BROAD ST
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-1127
Practice Address - Country:US
Practice Address - Phone:330-533-3549
Practice Address - Fax:330-533-8709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-09580003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2026720Medicaid
OH5543420001Medicare NSC