Southgate Medical Pharmacy Inc

LBN: Southgate Medical Pharmacy Inc
Southgate Medical Pharmacy Inc is an health care organization with primary practice located at 1026 Union Rd , West Seneca NY 14224-3449. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Southgate Medical Pharmacy Inc can be contacted via phone (716) 712-0630, or through Lucci, Victor John via phone (716) 712-0630.

Contact Information

Primary practice address
1026 Union Rd West Seneca NY 14224-3449
Phone: (716) 712-0630
Fax: (716) 712-0633
Website:
Map and Directions
Authorized official contact:
Name: Lucci, Victor John RPH
Phone: (716) 712-0630

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 025883 New York

Profile Details

NPI number 1457407892
LBN Legal business name Southgate Medical Pharmacy Inc
DBA Doing business as
Authorized official Lucci, Victor John RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated Feb 28th, 2021 - about 3 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 1457407892 NPPES
New York MEDICAID 02408148

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