Haeun Pharmacy

LBN: Dougie Fresh Inc
Haeun Pharmacy is an health care organization with primary practice located at 7300 Old York Rd Ste 210, Melrose Park PA 19027-3037. 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. Dougie Fresh Inc can be contacted via phone (215) 635-6532, or through Kim, Deog via phone (215) 635-6532.

Contact Information

Primary practice address
7300 Old York Rd Ste 210 Melrose Park PA 19027-3037
Phone: (215) 635-6532
Fax: (215) 635-2745
Website:
Map and Directions
Authorized official contact:
Name: Kim, Deog
Phone: (215) 635-6532

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP481283 Pennsylvania

Profile Details

NPI number 1679659726
LBN Legal business name Dougie Fresh Inc
DBA Doing business as Haeun Pharmacy
Authorized official Kim, Deog
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2006
Last updated Mar 28th, 2017 - about 7 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 1679659726 NPPES
Pennsylvania MEDICAID 1027895800001
Pennsylvania Other 2138837

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