Medwiz Pharmacy, Llc

LBN: Medwiz Pharmacy Llc
Medwiz Pharmacy, Llc is an health care organization with primary practice located at 240 N Main St , Spring Valley NY 10977-4020. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Medwiz Pharmacy Llc can be contacted via phone (845) 624-5200, or through Newhouse, Eric via phone (845) 558-5390.

Contact Information

Primary practice address
240 N Main St Spring Valley NY 10977-4020
Fax: (845) 624-5300
Website:
Authorized official contact:
Name: Newhouse, Eric

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 029312 New York
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1477929529
LBN Legal business name Medwiz Pharmacy Llc
DBA Doing business as Medwiz Pharmacy, Llc
Authorized official Newhouse, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2015
Last updated Feb 20th, 2017 - about 7 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 1477929529 NPPES
New York MEDICAID 04418659
New York Other 2153610

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