Moriah Pharmacy

LBN: Adirondack Apothecary Llc
Moriah Pharmacy is an health care organization with primary practice located at 4315 Main St , Port Henry NY 12974-1339. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Adirondack Apothecary Llc can be contacted via phone (518) 546-7244, or through Bowen, James via phone (518) 532-7575.

Contact Information

Primary practice address
4315 Main St Port Henry NY 12974-1339
Phone: (518) 546-7244
Fax: (518) 546-9722
Website:
Map and Directions
Authorized official contact:
Name: Bowen, James RPH
Phone: (518) 532-7575

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 027981 New York
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1568573848
LBN Legal business name Adirondack Apothecary Llc
DBA Doing business as Moriah Pharmacy
Authorized official Bowen, James RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 28th, 2014 - about 10 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 1568573848 NPPES
Other 2068509 PK
MEDICAID 2809052 PK

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