Port Ewen Pharmacy Inc

LBN: Port Ewen Pharmacy Inc
Port Ewen Pharmacy Inc is an health care organization with primary practice located at 177 Broadway , Port Ewen NY 12466-7719. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Port Ewen Pharmacy Inc can be contacted via phone (845) 331-4229, or through Schechter, Dana via phone (845) 331-4229.

Contact Information

Primary practice address
177 Broadway Port Ewen NY 12466-7719
Phone: (845) 331-4229
Fax: (845) 340-4593
Website:
Map and Directions
Authorized official contact:
Name: Schechter, Dana
Phone: (845) 331-4229

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 022436 New York
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1548322308
LBN Legal business name Port Ewen Pharmacy Inc
DBA Doing business as Port Ewen Pharmacy Inc
Authorized official Schechter, Dana
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 16th, 2014 - about 10 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 1548322308 NPPES
New York MEDICAID 00340625
New York Other 2063529

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