Suburban Pharmacy

LBN: Suburban Pharmacy Inc
Suburban Pharmacy is an health care organization with primary practice located at 242 Pawtuxet Ave , Warwick RI 02888-1933. 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. Suburban Pharmacy Inc can be contacted via phone (401) 781-2110, or through Shanos, Nicholas via phone (401) 781-2110.

Contact Information

Primary practice address
242 Pawtuxet Ave Warwick RI 02888-1933
Phone: (401) 781-2110
Fax: (401) 781-2640
Website:
Map and Directions
Authorized official contact:
Name: Shanos, Nicholas RPH
Phone: (401) 781-2110

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHA00136 Rhode Island

Profile Details

NPI number 1245373307
LBN Legal business name Suburban Pharmacy Inc
DBA Doing business as Suburban Pharmacy
Authorized official Shanos, Nicholas RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Dec 3rd, 2013 - about 11 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 1245373307 NPPES
Other 2088084 PK
MEDICAID SP00071 PK

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