110 Pharmacy And Surgical

LBN: Larke Drugs Inc
110 Pharmacy And Surgical is an health care organization with primary practice located at 459 Route 110 , Melville NY 11747-2106. 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. Larke Drugs Inc can be contacted via phone (631) 421-5454, or through Venigalla, Rajendraprasad via phone (631) 421-5454.

Contact Information

Primary practice address
459 Route 110 Melville NY 11747-2106
Phone: (631) 421-5454
Fax: (631) 421-0437
Website:
Map and Directions
Authorized official contact:
Name: Venigalla, Rajendraprasad
Phone: (631) 421-5454

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 016281 New York

Profile Details

NPI number 1740394634
LBN Legal business name Larke Drugs Inc
DBA Doing business as 110 Pharmacy And Surgical
Authorized official Venigalla, Rajendraprasad
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Feb 5th, 2021 - about 3 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 1740394634 NPPES
New York MEDICAID 00738936

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