Molloy Medical Arts Pharmacy

LBN: Molloy Medical Arts Pharma Inc
Molloy Medical Arts Pharmacy is an health care organization with primary practice located at 19 Baker Ave Ste 207 Ste 207, Poughkeepsie NY 12601-1375. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Molloy Medical Arts Pharma Inc can be contacted via phone (845) 471-7455, or through Talasila, Ganesh Krishnachand via phone (845) 471-7455.

Contact Information

Primary practice address
19 Baker Ave Ste 207 Ste 207 Poughkeepsie NY 12601-1375
Fax: (845) 473-6337
Website:
Authorized official contact:
Name: Talasila, Ganesh Krishnachand

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 031697 New York

Profile Details

NPI number 1376894279
LBN Legal business name Molloy Medical Arts Pharma Inc
DBA Doing business as Molloy Medical Arts Pharmacy
Authorized official Talasila, Ganesh Krishnachand
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2012
Last updated Jan 26th, 2022 - about 2 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 1376894279 NPPES
New York MEDICAID 03498666
New York Other 2139794

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