Pure Health Pharmacy

LBN: 80Th Street Pharmacy Inc
Pure Health Pharmacy is an health care organization with primary practice located at 8014 18Th Ave , Brooklyn NY 11214-1706. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. 80Th Street Pharmacy Inc can be contacted via phone (718) 236-2747, or through Bokman, Eric via phone (718) 236-2747.

Contact Information

Primary practice address
8014 18Th Ave Brooklyn NY 11214-1706
Phone: (718) 236-2747
Fax: (718) 236-2723
Website:
Map and Directions
Authorized official contact:
Name: Bokman, Eric
Phone: (718) 236-2747

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 031140 New York
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1861750523
LBN Legal business name 80Th Street Pharmacy Inc
DBA Doing business as Pure Health Pharmacy
Authorized official Bokman, Eric
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2012
Last updated Oct 14th, 2016 - about 8 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 1861750523 NPPES
Other 2135172 PK

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