Lyncourt Drug

LBN: Henderson'S Drug Store, Inc.
Lyncourt Drug is an health care organization with primary practice located at 106 Arterial Rd , Syracuse NY 13206-1558. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Henderson'S Drug Store, Inc. can be contacted via phone (315) 437-0699, or through Jepsen, Lawrence A. via phone (607) 535-4999.

Contact Information

Primary practice address
106 Arterial Rd Syracuse NY 13206-1558
Phone: (315) 437-0699
Fax: (315) 433-9091
Website:
Map and Directions
Authorized official contact:
Name: Jepsen, Lawrence A.
Phone: (607) 535-4999

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 027165 New York

Profile Details

NPI number 1245296672
LBN Legal business name Henderson'S Drug Store, Inc.
DBA Doing business as Lyncourt Drug
Authorized official Jepsen, Lawrence A.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2006
Last updated Feb 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245296672 NPPES
New York MEDICAID 02639352

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