Slocum Dickson Pharmacy Inc

LBN: Slocum-Dickson Pharmacy Inc
Slocum Dickson Pharmacy Inc is an health care organization with primary practice located at 1729 Burrstone Rd Ste 201, New Hartford NY 13413-1001. 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. Slocum-Dickson Pharmacy Inc can be contacted via phone (315) 798-1724, or through Pellittieri, Kathleen via phone (315) 798-1724.

Contact Information

Primary practice address
1729 Burrstone Rd Ste 201 New Hartford NY 13413-1001
Fax: (315) 798-1507
Website:
Authorized official contact:
Name: Pellittieri, Kathleen RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 019678 New York

Profile Details

NPI number 1043201742
LBN Legal business name Slocum-Dickson Pharmacy Inc
DBA Doing business as Slocum Dickson Pharmacy Inc
Authorized official Pellittieri, Kathleen RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2005
Last updated Oct 2nd, 2012 - about 12 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 1043201742 NPPES
Other 3391086 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 01061238 NCPDP PROVIDER IDENTIFICATION NUMBER

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