St George Pharmacy Inc

LBN: St George Pharmacy Inc
St George Pharmacy Inc is an health care organization with primary practice located at 99 Stuyvesant Pl , Staten Island NY 10301-1917. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. St George Pharmacy Inc can be contacted via phone (718) 447-0333, or through Mohamed, Omar S. via phone (718) 447-0333.

Contact Information

Primary practice address
99 Stuyvesant Pl Staten Island NY 10301-1917
Fax:
Website:
Authorized official contact:
Name: Mohamed, Omar S. PHARMD

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 034093 New York

Profile Details

NPI number 1336265396
LBN Legal business name St George Pharmacy Inc
DBA Doing business as
Authorized official Mohamed, Omar S. PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Apr 4th, 2023 - about last year

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 1336265396 NPPES
New York MEDICAID 02566301

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