Crystal Run Pharmacy
LBN: Crystal Run Pharmacy Llc
Crystal Run Pharmacy is an health care organization with primary practice located at 731 Route 211 E Ste 108 , Middletown NY 10941-1457. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty.
Crystal Run Pharmacy Llc can be contacted via phone (845) 692-7628, or through Agnello, Sandra via phone (845) 863-6750.
Contact Information
Primary practice address
731 Route 211 E Ste 108
Middletown NY 10941-1457
Phone: (845) 692-7628
Fax: (845) 692-7644
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Community/Retail Pharmacy | 3336C0003X | 027541 | New York |
Profile Details
NPI number | 1053414532 |
---|---|
LBN Legal business name | Crystal Run Pharmacy Llc |
DBA Doing business as | Crystal Run Pharmacy |
Authorized official | Agnello, Sandra |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 7th, 2006 |
Last updated | Feb 2nd, 2024 - about 7 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053414532 | NPPES |
New York | MEDICAID | 2814744 | |
New York | Other | 1053414532 | |
New York | Other | 3352084 |
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