South Fulton Pharmacy Inc.

LBN: South Fulton Pharmacy Inc
South Fulton Pharmacy Inc. is an health care organization with primary practice located at 301 S Fulton Ave , Mount Vernon NY 10553-1715. 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. South Fulton Pharmacy Inc can be contacted via phone (914) 667-7772, or through Jaber, Aymen via phone (914) 667-7772.

Contact Information

Primary practice address
301 S Fulton Ave Mount Vernon NY 10553-1715
Phone: (914) 667-7772
Fax: (914) 667-7774
Website:
Map and Directions
Authorized official contact:
Name: Jaber, Aymen
Phone: (914) 667-7772

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 034357 New York

Profile Details

NPI number 1558725499
LBN Legal business name South Fulton Pharmacy Inc
DBA Doing business as South Fulton Pharmacy Inc.
Authorized official Jaber, Aymen
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2016
Last updated Jan 18th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558725499 NPPES
Other 2159434 PK

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