4Th Ave Drug Store Inc

LBN: 4Th Ave Drug Store Inc
4Th Ave Drug Store Inc is an health care organization with primary practice located at 26 S 4Th Ave , Mount Vernon NY 10550-3105. 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. 4Th Ave Drug Store Inc can be contacted via phone (914) 863-0399, or through Esahack, Bibi via phone (914) 863-0399.

Contact Information

Primary practice address
26 S 4Th Ave Mount Vernon NY 10550-3105
Fax: (914) 863-0397
Website:
Authorized official contact:
Name: Esahack, Bibi

Health care specialties

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

Profile Details

NPI number 1295299535
LBN Legal business name 4Th Ave Drug Store Inc
DBA Doing business as
Authorized official Esahack, Bibi
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2019
Last updated Jun 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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