Gold Star Pharmacy
LBN: Gold Star Pharmacy Inc
Gold Star Pharmacy is an health care organization with primary practice located at 601 S Main St , North Syracuse NY 13212-3614. 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.
Gold Star Pharmacy Inc can be contacted via phone (315) 458-4500, or through Zlotnick, Jeffrey via phone (315) 452-3280.
Contact Information
Primary practice address
601 S Main St
North Syracuse NY 13212-3614
Phone: (315) 458-4500
Fax: (315) 458-2163
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 020722 | New York |
Profile Details
NPI number | 1225107170 |
---|---|
LBN Legal business name | Gold Star Pharmacy Inc |
DBA Doing business as | Gold Star Pharmacy |
Authorized official | Zlotnick, Jeffrey RPH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 7th, 2006 |
Last updated | Jun 9th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225107170 | NPPES |
New York | MEDICAID | 01223665 | |
New York | Other | 3397848 |
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