167St Rx Center Inc

LBN: 167St Rx Center Inc
167St Rx Center Inc is an health care organization with primary practice located at 112 E 167Th St , Bronx NY 10452-8205. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. 167St Rx Center Inc can be contacted via phone (718) 681-5644, or through Bennett, Martin via phone (718) 681-5644.

Contact Information

Primary practice address
112 E 167Th St Bronx NY 10452-8205
Fax: (718) 588-5814
Website:
Authorized official contact:
Name: Bennett, Martin

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 21343 New York

Profile Details

NPI number 1578544839
LBN Legal business name 167St Rx Center Inc
DBA Doing business as
Authorized official Bennett, Martin
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2005
Last updated Jan 28th, 2010 - about 14 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 1578544839 NPPES
New York MEDICAID 00268575

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