Eden Park Pharmacy Supply Co., Inc.

LBN: Eden Park Pharmacy Supply Co., Inc.
Eden Park Pharmacy Supply Co., Inc. is an health care organization with primary practice located at 16 Walker Way , Albany NY 12205-4995. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Eden Park Pharmacy Supply Co., Inc. can be contacted via phone (518) 452-7795, or through Glock, Robert via phone (518) 436-4731.

Contact Information

Primary practice address
16 Walker Way Albany NY 12205-4995
Phone: (518) 452-7795
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Glock, Robert
Phone: (518) 436-4731

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 022310 New York

Profile Details

NPI number 1811060932
LBN Legal business name Eden Park Pharmacy Supply Co., Inc.
DBA Doing business as
Authorized official Glock, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1811060932 NPPES
New York MEDICAID 02068037

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