Spencerport Family Apothecary, Llc

LBN: Spencerport Family Apothecary, Llc
Spencerport Family Apothecary, Llc is an health care organization with primary practice located at 42 Nichols St Ste 11 , Spencerport NY 14559-2180. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Spencerport Family Apothecary, Llc can be contacted via phone (585) 349-3562, or through Schladebeck, Eric via phone (585) 349-3562.

Contact Information

Primary practice address
42 Nichols St Ste 11 Spencerport NY 14559-2180
Phone: (585) 349-3562
Fax: (585) 349-3564
Website:
Map and Directions
Authorized official contact:
Name: Schladebeck, Eric PHARM. D.
Phone: (585) 349-3562

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 032671 New York
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1184047987
LBN Legal business name Spencerport Family Apothecary, Llc
DBA Doing business as
Authorized official Schladebeck, Eric PHARM. D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2014
Last updated Mar 16th, 2020 - about 4 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 1184047987 NPPES
New York MEDICAID 04044524
New York Other 2147657

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