East Park Pharmacy

LBN: Haviland Pharmacy Inc
East Park Pharmacy is an health care organization with primary practice located at 874 Violet Ave , Hyde Park NY 12538. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Haviland Pharmacy Inc can be contacted via phone (845) 229-2195, or through Jolly, Martha Jean via phone (845) 229-2195.

Contact Information

Primary practice address
874 Violet Ave Hyde Park NY 12538
Phone: (845) 229-2195
Fax: (845) 229-8700
Website:
Map and Directions
Authorized official contact:
Name: Jolly, Martha Jean RPH
Phone: (845) 229-2195

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 017019 New York

Profile Details

NPI number 1295712966
LBN Legal business name Haviland Pharmacy Inc
DBA Doing business as East Park Pharmacy
Authorized official Jolly, Martha Jean RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2005
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 1295712966 NPPES
New York MEDICAID 00768901
New York Other 3352755

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