Gilmore Pharmacy

LBN: L Park Llc
Gilmore Pharmacy is an health care organization with primary practice located at 6000 Park Ave , West New York NJ 07093. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. L Park Llc can be contacted via phone (201) 868-5005, or through Dominguez, Ileana via phone (201) 868-5005.

Contact Information

Primary practice address
6000 Park Ave West New York NJ 07093
Phone: (201) 868-5005
Fax: (201) 868-5974
Website:
Map and Directions
Authorized official contact:
Name: Dominguez, Ileana RPHD
Phone: (201) 868-5005

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 3201 New Jersey

Profile Details

NPI number 1982726279
LBN Legal business name L Park Llc
DBA Doing business as Gilmore Pharmacy
Authorized official Dominguez, Ileana RPHD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2007
Last updated Oct 1st, 2018 - about 6 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 1982726279 NPPES
Other 3123786 NCPDP
MEDICAID 0547361 NCPDP

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