Shoprite Pharmacy Of Hylan Blvd

LBN: Mltk Llc
Shoprite Pharmacy Of Hylan Blvd is an health care organization with primary practice located at 2424 Hylan Blvd , Staten Island NY 10306-3117. 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. Mltk Llc can be contacted via phone (718) 979-0718, or through Figueroa Rivera, Melissa via phone (732) 521-8439.

Contact Information

Primary practice address
2424 Hylan Blvd Staten Island NY 10306-3117
Phone: (718) 979-0718
Fax: (718) 979-5462
Website:
Map and Directions
Authorized official contact:
Name: Figueroa Rivera, Melissa
Phone: (732) 521-8439

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 028450 New York

Profile Details

NPI number 1790975936
LBN Legal business name Mltk Llc
DBA Doing business as Shoprite Pharmacy Of Hylan Blvd
Authorized official Figueroa Rivera, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2007
Last updated Jul 19th, 2018 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790975936 NPPES
Other 2069367 PK
MEDICAID 2909479 PK

Popular Providers