Abc Source Pharmacy
LBN: Abc Source Llc
Abc Source Pharmacy is an health care organization with primary practice located at 5110 8Th Ave , Brooklyn NY 11220-2803. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Abc Source Llc can be contacted via phone (718) 676-5556, or through Zheng, Keyong via phone (718) 676-5556.
Contact Information
Primary practice address
5110 8Th Ave
Brooklyn NY 11220-2803
Phone: (718) 676-5556
Fax: (646) 829-9181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 033311 | New York |
Profile Details
| NPI number | 1184010621 |
|---|---|
| LBN Legal business name | Abc Source Llc |
| DBA Doing business as | Abc Source Pharmacy |
| Authorized official | Zheng, Keyong |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 11th, 2015 |
| Last updated | May 9th, 2023 - about last year |
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 | 1184010621 | NPPES |
| Other | 2151480 | PK | |
| MEDICAID | 04172423 | PK |
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