Blackstone Health Mart Pharmacy
LBN: Loujil Inc
Blackstone Health Mart Pharmacy is an health care organization with primary practice located at 465 Lonsdale Ave Ste B, Pawtucket RI 02860-1874. 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.
Loujil Inc can be contacted via phone (401) 475-5655, or through Kishfy, Gary via phone (401) 475-5655.
Contact Information
Primary practice address
465 Lonsdale Ave Ste B
Pawtucket RI 02860-1874
Phone: (401) 475-5655
Fax: (401) 475-2631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHA00438 | Rhode Island |
Profile Details
| NPI number | 1225206329 |
|---|---|
| LBN Legal business name | Loujil Inc |
| DBA Doing business as | Blackstone Health Mart Pharmacy |
| Authorized official | Kishfy, Gary RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 12th, 2008 |
| Last updated | Aug 23rd, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225206329 | NPPES |
| Other | 4107048 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | LI 69635 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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