Farmacia Latina

LBN: Jac Pharmacy Inc
Farmacia Latina is an health care organization with primary practice located at 9315 Roosevelt Ave , Jackson Heights NY 11372-7943. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Jac Pharmacy Inc can be contacted via phone (718) 478-6863, or through Campon, Jose via phone (516) 523-6948.

Contact Information

Primary practice address
9315 Roosevelt Ave Jackson Heights NY 11372-7943
Phone: (718) 478-6863
Fax: (718) 478-0093
Website:
Map and Directions
Authorized official contact:
Name: Campon, Jose JD
Phone: (516) 523-6948

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 018088 New York
Suppliers / Community/Retail Pharmacy 3336C0003X 018088 New York

Profile Details

NPI number 1679518781
LBN Legal business name Jac Pharmacy Inc
DBA Doing business as Farmacia Latina
Authorized official Campon, Jose JD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Aug 13th, 2017 - about 7 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 1679518781 NPPES
New York MEDICAID 00824075
New York Other 3379511

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