Lake Ave Pharmacy Inc

LBN: Lake Ave Pharmacy Inc
Lake Ave Pharmacy Inc is an health care organization with primary practice located at 130 Lake Ave , Yonkers NY 10703-2713. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Lake Ave Pharmacy Inc can be contacted via phone (914) 965-3034, or through Lupo, John A via phone (914) 965-3034.

Contact Information

Primary practice address
130 Lake Ave Yonkers NY 10703-2713
Phone: (914) 965-3034
Fax: (914) 965-4176
Website:
Map and Directions
Authorized official contact:
Name: Lupo, John A R PH
Phone: (914) 965-3034

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 20096 New York

Profile Details

NPI number 1932111861
LBN Legal business name Lake Ave Pharmacy Inc
DBA Doing business as
Authorized official Lupo, John A R PH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1932111861 NPPES
New York MEDICAID 01105040
New York Other 3393206

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