Atlantic Pharmacy & Surgical Supplies

LBN: 115 Irving Ave Pharmacy Inc
Atlantic Pharmacy & Surgical Supplies is an health care organization with primary practice located at 1706B Atlantic Ave , Brooklyn NY 11213-1206. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. 115 Irving Ave Pharmacy Inc can be contacted via phone (718) 484-2260, or through Raval, Devang via phone (718) 484-2260.

Contact Information

Primary practice address
1706B Atlantic Ave Brooklyn NY 11213-1206
Fax: (718) 484-2261
Website:
Authorized official contact:
Name: Raval, Devang

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 035113 New York

Profile Details

NPI number 1932265642
LBN Legal business name 115 Irving Ave Pharmacy Inc
DBA Doing business as Atlantic Pharmacy & Surgical Supplies
Authorized official Raval, Devang
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Apr 24th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932265642 NPPES
Other 2062245 PK
MEDICAID 00833192 PK

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