Dutch Broadway Pharmacy

LBN: Mge Pharmacy Inc
Dutch Broadway Pharmacy is an health care organization with primary practice located at 1785 Dutch Broadway , Elmont NY 11003-5044. 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. Mge Pharmacy Inc can be contacted via phone (516) 825-3177, or through Amoruso, Leonard via phone (516) 825-3177.

Contact Information

Primary practice address
1785 Dutch Broadway Elmont NY 11003-5044
Phone: (516) 825-3177
Fax: (516) 825-1129
Website:
Map and Directions
Authorized official contact:
Name: Amoruso, Leonard
Phone: (516) 825-3177

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 011973 New York

Profile Details

NPI number 1063427680
LBN Legal business name Mge Pharmacy Inc
DBA Doing business as Dutch Broadway Pharmacy
Authorized official Amoruso, Leonard
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Apr 1st, 2016 - about 9 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 1063427680 NPPES
Other 2058276 PK
MEDICAID 00263805 PK

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