Junction Blvd Pharmacy

LBN: Aen Corp
Junction Blvd Pharmacy is an health care organization with primary practice located at 95 53 Roosevelt Ave , Jackson Heights NY 11372. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Aen Corp can be contacted via phone (718) 396-4030, or through Melanthiou, George via phone (718) 396-4030.

Contact Information

Primary practice address
95 53 Roosevelt Ave Jackson Heights NY 11372
Fax: (718) 396-3989
Website:
Authorized official contact:
Name: Melanthiou, George

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 024469 New York

Profile Details

NPI number 1750426383
LBN Legal business name Aen Corp
DBA Doing business as Junction Blvd Pharmacy
Authorized official Melanthiou, George
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated May 4th, 2016 - about 9 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 1750426383 NPPES
New York MEDICAID 02226653
New York Other 2060042

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