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:
Map and Directions
Authorized official contact:
Name: Niyazova, Svetlana
Phone: (631) 760-1114

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689179178 NPPES
Other 2176773 PK

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