Corner Pharmacy

LBN: Jae Il Pharmacy Inc
Corner Pharmacy is an health care organization with primary practice located at 4103 Union St , Flushing NY 11355-2452. 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. Jae Il Pharmacy Inc can be contacted via phone (718) 460-3825, or through Park, Anne via phone (718) 460-3825.

Contact Information

Primary practice address
4103 Union St Flushing NY 11355-2452
Phone: (718) 460-3825
Fax: (718) 762-5842
Website:
Map and Directions
Authorized official contact:
Name: Park, Anne
Phone: (718) 460-3825

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 021251 New York

Profile Details

NPI number 1215979513
LBN Legal business name Jae Il Pharmacy Inc
DBA Doing business as Corner Pharmacy
Authorized official Park, Anne
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 6th, 2012 - about 12 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 1215979513 NPPES
Other 3321142 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 01764974 NCPDP PROVIDER IDENTIFICATION NUMBER

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