Main Source Pharmacy
LBN: Main Source Pharmacy Inc
Main Source Pharmacy is an health care organization with primary practice located at 347 Main St , Huntington NY 11743-6914. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Main Source Pharmacy Inc can be contacted via phone (631) 760-1114, or through Niyazova, Svetlana via phone (631) 760-1114.
Contact Information
Primary practice address
347 Main St
Huntington NY 11743-6914
Phone: (631) 760-1114
Fax: (631) 760-1035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 036497 | New York |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1689179178 |
|---|---|
| LBN Legal business name | Main Source Pharmacy Inc |
| DBA Doing business as | Main Source Pharmacy |
| Authorized official | Niyazova, Svetlana |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 27th, 2018 |
| Last updated | Sep 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689179178 | NPPES |
| Other | 2176773 | PK |
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