North Riva Ridge Med Room Phcy

LBN: Gahcc-Tpcp
North Riva Ridge Med Room Phcy is an health care organization with primary practice located at 10205 N Riva Ridge Loop , Fort Drum NY 13602-5457. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Military/U.S. Coast Guard Pharmacy, Suppliers / Pharmacy. Suppliers / Military/U.S. Coast Guard Pharmacy is the primary health care specialty. Gahcc-Tpcp can be contacted via phone (315) 772-8860, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
10205 N Riva Ridge Loop Fort Drum NY 13602-5457
Phone: (315) 772-8860
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Morales, Hector
Phone: (210) 536-6650

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1164584397
LBN Legal business name Gahcc-Tpcp
DBA Doing business as North Riva Ridge Med Room Phcy
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Feb 8th, 2016 - about 8 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 1164584397 NPPES
Other 2057270 PK

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