Ellicottville Pharmacy Inc

LBN: Ellicottville Pharmacy Inc
Ellicottville Pharmacy Inc is an health care organization with primary practice located at 6133 Route 219 S Ste 1004, Ellicottville NY 14731-9613. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ellicottville Pharmacy Inc can be contacted via phone (716) 699-2300, or through Gilroy, Benjamin via phone (716) 699-2300.

Contact Information

Primary practice address
6133 Route 219 S Ste 1004 Ellicottville NY 14731-9613
Phone: (716) 699-2300
Fax: (716) 699-5508
Website:
Map and Directions
Authorized official contact:
Name: Gilroy, Benjamin RPH
Phone: (716) 699-2300

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 017405 New York
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Managed Care Organization Pharmacy 3336M0003X

Profile Details

NPI number 1316971856
LBN Legal business name Ellicottville Pharmacy Inc
DBA Doing business as Ellicottville Pharmacy Inc
Authorized official Gilroy, Benjamin RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Oct 23rd, 2023 - 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 1316971856 NPPES
Other 2060679 PK
MEDICAID 00745102 PK

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