Kinney Drugs #30

LBN: Kph Healthcare Services, Inc.
Kinney Drugs #30 is an health care organization with primary practice located at 905 Coffeen St , Watertown NY 13601-1816. 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. Kph Healthcare Services, Inc. can be contacted via phone (315) 788-9366, or through Marlow, Elizabeth M via phone (315) 287-3600.

Contact Information

Primary practice address
905 Coffeen St Watertown NY 13601-1816
Phone: (315) 788-9366
Fax: (315) 782-4955
Website:
Map and Directions
Authorized official contact:
Name: Marlow, Elizabeth M
Phone: (315) 287-3600

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 019389 New York
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1952418675
LBN Legal business name Kph Healthcare Services, Inc.
DBA Doing business as Kinney Drugs #30
Authorized official Marlow, Elizabeth M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 4th, 2024 - about 4 months 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 1952418675 NPPES
New York MEDICAID 01012633
New York Other 3389005

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