1699 Fancy Pharmacy Inc.

LBN: 1699 Fancy Pharmacy Inc.
1699 Fancy Pharmacy Inc. is an health care organization with primary practice located at 132 Allen St , New York NY 10002-3008. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. 1699 Fancy Pharmacy Inc. can be contacted via phone (212) 529-4532, or through Rashid, Radif Muhammad via phone (212) 529-4532.

Contact Information

Primary practice address
132 Allen St New York NY 10002-3008
Phone: (212) 529-4532
Fax: (212) 529-5217
Website:
Map and Directions
Authorized official contact:
Name: Rashid, Radif Muhammad PHARMD
Phone: (212) 529-4532

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 019989 New York

Profile Details

NPI number 1124181854
LBN Legal business name 1699 Fancy Pharmacy Inc.
DBA Doing business as
Authorized official Rashid, Radif Muhammad PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2006
Last updated May 8th, 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 1124181854 NPPES
New York MEDICAID 01115113

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