State Street Pharmacy

LBN: City Drug Inc
State Street Pharmacy is an health care organization with primary practice located at 22 State St , Lynn MA 01901-1505. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. City Drug Inc can be contacted via phone (781) 599-0900, or through Urim, Oleg via phone (781) 405-3228.

Contact Information

Primary practice address
22 State St Lynn MA 01901-1505
Phone: (781) 599-0900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Urim, Oleg BS PHARM
Phone: (781) 405-3228

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X DS89810 Massachusetts

Profile Details

NPI number 1811255417
LBN Legal business name City Drug Inc
DBA Doing business as State Street Pharmacy
Authorized official Urim, Oleg BS PHARM
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2012
Last updated Dec 28th, 2015 - 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 1811255417 NPPES
Other 2135003 PK

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