Medical Park Drug And Surgical

LBN: Stony Brook Pharmacy
Medical Park Drug And Surgical is an health care organization with primary practice located at 2500 Nesconset Hwy Ste 3 A, Stony Brook NY 11790-2555. 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. Stony Brook Pharmacy can be contacted via phone (631) 751-4477, or through Salvatore, Max via phone (631) 751-4477.

Contact Information

Primary practice address
2500 Nesconset Hwy Ste 3 A Stony Brook NY 11790-2555
Phone: (631) 751-4477
Fax: (631) 751-4962
Website:
Map and Directions
Authorized official contact:
Name: Salvatore, Max
Phone: (631) 751-4477

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 018464 New York

Profile Details

NPI number 1609804269
LBN Legal business name Stony Brook Pharmacy
DBA Doing business as Medical Park Drug And Surgical
Authorized official Salvatore, Max
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2006
Last updated Oct 28th, 2014 - about 10 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 1609804269 NPPES
Other 2063472 PK
MEDICAID 00890780 PK

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