Mayfair Drug Store

LBN: Mayfair Drug Store Inc
Mayfair Drug Store is an health care organization with primary practice located at 7522 Frankford Ave , Philadelphia PA 19136-3533. 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. Mayfair Drug Store Inc can be contacted via phone (215) 338-2626, or through Pristas, Michael via phone (215) 338-2626.

Contact Information

Primary practice address
7522 Frankford Ave Philadelphia PA 19136-3533
Phone: (215) 338-2626
Fax: (215) 338-5209
Website:
Map and Directions
Authorized official contact:
Name: Pristas, Michael
Phone: (215) 338-2626

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP481504 Pennsylvania

Profile Details

NPI number 1114999042
LBN Legal business name Mayfair Drug Store Inc
DBA Doing business as Mayfair Drug Store
Authorized official Pristas, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2006
Last updated Jan 23rd, 2012 - about 12 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 1114999042 NPPES
Pennsylvania MEDICAID 1014416570001
Pennsylvania Other 3985085

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