East Broadway Pharmacy

LBN: Apollo Pharma Inc
East Broadway Pharmacy is an health care organization with primary practice located at 98 E Broadway Apt 1F , New York NY 10002-7093. 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. Apollo Pharma Inc can be contacted via phone (212) 431-6688, or through Bastien, Daniel via phone (212) 431-6688.

Contact Information

Primary practice address
98 E Broadway Apt 1F New York NY 10002-7093
Phone: (212) 431-6688
Fax: (212) 431-6681
Website:
Map and Directions
Authorized official contact:
Name: Bastien, Daniel
Phone: (212) 431-6688

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 035752 New York

Profile Details

NPI number 1295259927
LBN Legal business name Apollo Pharma Inc
DBA Doing business as East Broadway Pharmacy
Authorized official Bastien, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2017
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295259927 NPPES
New York MEDICAID 04876775
New York Other 2172114

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