Theresa Pharmacy Ii
LBN: 66 Nagle Avenue Corp
Theresa Pharmacy Ii is an health care organization with primary practice located at 66 Nagle Ave , New York NY 10040-1406. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
66 Nagle Avenue Corp can be contacted via phone (212) 304-3949, or through Newman, Robert via phone (212) 304-3949.
Contact Information
Primary practice address
66 Nagle Ave
New York NY 10040-1406
Phone: (212) 304-3949
Fax: (212) 304-4339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 022529 | New York |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1427031475 |
|---|---|
| LBN Legal business name | 66 Nagle Avenue Corp |
| DBA Doing business as | Theresa Pharmacy Ii |
| Authorized official | Newman, Robert |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Apr 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427031475 | NPPES |
| New York | MEDICAID | 01584358 | |
| New York | Other | 3302712 |
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