Boca Pharmacy
LBN: 904 Prospect Pharmacy Inc
Boca Pharmacy is an health care organization with primary practice located at 904 Prospect Ave , Bronx NY 10459-3929. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
904 Prospect Pharmacy Inc can be contacted via phone (718) 991-6700, or through Abt, Louis via phone (718) 991-6700.
Contact Information
Primary practice address
904 Prospect Ave
Bronx NY 10459-3929
Phone: (718) 991-6700
Fax: (718) 874-1378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 027296 | New York |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1043307242 |
|---|---|
| LBN Legal business name | 904 Prospect Pharmacy Inc |
| DBA Doing business as | Boca Pharmacy |
| Authorized official | Abt, Louis |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 7th, 2006 |
| Last updated | Sep 29th, 2022 - about 2 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 | 1043307242 | NPPES |
| Other | 2064042 | PK | |
| MEDICAID | 2664726 | PK |
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