Bravo Super Pharmacy Inc

LBN: Bravo Super Pharmacy Inc
Bravo Super Pharmacy Inc is an health care organization with primary practice located at 174 Wheeler Rd , Central Islip NY 11722-2027. 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. Bravo Super Pharmacy Inc can be contacted via phone (631) 761-6600, or through Ali, Asif via phone (631) 413-6603.

Contact Information

Primary practice address
174 Wheeler Rd Central Islip NY 11722-2027
Phone: (631) 761-6600
Fax: (631) 761-6619
Website:
Map and Directions
Authorized official contact:
Name: Ali, Asif
Phone: (631) 413-6603

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 032228 New York

Profile Details

NPI number 1134550734
LBN Legal business name Bravo Super Pharmacy Inc
DBA Doing business as Bravo Super Pharmacy Inc
Authorized official Ali, Asif
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2013
Last updated Jan 14th, 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 1134550734 NPPES
Other 2143520 PK

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