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:
Map and Directions
Authorized official contact:
Name: Agnello, Sandra
Phone: (845) 863-6750

Health care specialties

SpecialtyCodeLicense #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 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 1053414532 NPPES
New York MEDICAID 2814744
New York Other 1053414532
New York Other 3352084

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