Civa Drug Corp

LBN: Civa Drug Corp
Civa Drug Corp is an health care organization with primary practice located at 761 Suffolk Ave , Brentwood NY 11717-4409. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Civa Drug Corp can be contacted via phone (631) 273-3314, or through Thaker, Digesh C via phone (631) 273-3314.

Contact Information

Primary practice address
761 Suffolk Ave Brentwood NY 11717-4409
Phone: (631) 273-3314
Fax: (631) 273-8863
Website:
Map and Directions
Authorized official contact:
Name: Thaker, Digesh C
Phone: (631) 273-3314

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1336837780
LBN Legal business name Civa Drug Corp
DBA Doing business as
Authorized official Thaker, Digesh C
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 25th, 2023
Last updated Apr 25th, 2023 - about last year

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 1336837780 NPPES
New York MEDICAID 00713240

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