Provider Demographics
NPI:1942873690
Name:BUY-FAST PHARMACY
Entity Type:Organization
Organization Name:BUY-FAST PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:AMBUROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARIAGNANAPRAKASAM
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:304-766-8484
Mailing Address - Street 1:4501 MACCORKLE AVE SW STE 101
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25309-1444
Mailing Address - Country:US
Mailing Address - Phone:304-766-8484
Mailing Address - Fax:
Practice Address - Street 1:4501 MACCORKLE AVE SW STE 101
Practice Address - Street 2:
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25309-1444
Practice Address - Country:US
Practice Address - Phone:304-766-8484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy