Ditmars Pharmacy

LBN: Ditmars Pharmacy
Ditmars Pharmacy is an health care organization with primary practice located at 3308 Ditmars Blvd , Astoria NY 11105-2106. The organization recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as the primary health care specialty. Ditmars Pharmacy can be contacted via phone (718) 278-5454, or through Devagno, Victor via phone (718) 278-5454.

Contact Information

Primary practice address
3308 Ditmars Blvd Astoria NY 11105-2106
Phone: (718) 278-5454
Fax: (718) 626-2042
Website:
Map and Directions
Authorized official contact:
Name: Devagno, Victor REGISTERED PHARMACIS
Phone: (718) 278-5454

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X 024120 New York

Profile Details

NPI number 1578623047
LBN Legal business name Ditmars Pharmacy
DBA Doing business as
Authorized official Devagno, Victor REGISTERED PHARMACIS
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1578623047 NPPES
New York MEDICAID 01902996
New York Other 3305186

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