Fleetwood Pharmacy
LBN: Iman Pharmacy Inc
Fleetwood Pharmacy is an health care organization with primary practice located at 505 Gramatan Ave , Mount Vernon NY 10552-3008. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Iman Pharmacy Inc can be contacted via phone (914) 665-5556, or through Abdullah, Marwan via phone (914) 665-5556.
Contact Information
Primary practice address
505 Gramatan Ave
Mount Vernon NY 10552-3008
Phone: (914) 665-5556
Fax: (914) 665-5589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 027817 | New York |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1669427969 |
|---|---|
| LBN Legal business name | Iman Pharmacy Inc |
| DBA Doing business as | Fleetwood Pharmacy |
| Authorized official | Abdullah, Marwan R.PH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Mar 18th, 2015 - about 9 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 | 1669427969 | NPPES |
| New York | MEDICAID | 02785711 | |
| New York | Other | 2068108 |
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