Country Village Pharmacy Inc

LBN: Country Village Pharmacy Inc
Country Village Pharmacy Inc is an health care organization with primary practice located at 242 E Main St , East Islip NY 11730-2712. 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. Country Village Pharmacy Inc can be contacted via phone (631) 581-7878, or through Truncale, Jack via phone (631) 581-7878.

Contact Information

Primary practice address
242 E Main St East Islip NY 11730-2712
Phone: (631) 581-7878
Fax: (631) 581-4712
Website:
Map and Directions
Authorized official contact:
Name: Truncale, Jack
Phone: (631) 581-7878

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 010285 New York

Profile Details

NPI number 1285762419
LBN Legal business name Country Village Pharmacy Inc
DBA Doing business as
Authorized official Truncale, Jack
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Sep 13th, 2007 - about 17 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 1285762419 NPPES
Other 3309300 OTHER ID NUMBER

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