Dekalb Pharmacy

LBN: 1491 Dekalb Ave Pharmacy Inc
Dekalb Pharmacy is an health care organization with primary practice located at 1472 Dekalb Ave , Brooklyn NY 11237-3604. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. 1491 Dekalb Ave Pharmacy Inc can be contacted via phone (718) 381-0018, or through Anam, Kazi via phone (718) 381-0018.

Contact Information

Primary practice address
1472 Dekalb Ave Brooklyn NY 11237-3604
Phone: (718) 381-0018
Fax: (718) 456-4983
Website:
Map and Directions
Authorized official contact:
Name: Anam, Kazi
Phone: (718) 381-0018

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 018542 New York
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1760547186
LBN Legal business name 1491 Dekalb Ave Pharmacy Inc
DBA Doing business as Dekalb Pharmacy
Authorized official Anam, Kazi
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1760547186 NPPES
Other 3383243 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 01313964 OTHER ID NUMBER-COMMERCIAL NUMBER

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