Wil Mark Pharmacy

LBN: Usha Pharmacy Inc
Wil Mark Pharmacy is an health care organization with primary practice located at 2120 Deer Park Ave , Deer Park NY 11729-1306. 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. Usha Pharmacy Inc can be contacted via phone (631) 586-0045, or through Shah, Vinod via phone (631) 586-0045.

Contact Information

Primary practice address
2120 Deer Park Ave Deer Park NY 11729-1306
Phone: (631) 586-0045
Fax: (631) 586-0048
Website:
Map and Directions
Authorized official contact:
Name: Shah, Vinod
Phone: (631) 586-0045

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 019594 New York

Profile Details

NPI number 1396777918
LBN Legal business name Usha Pharmacy Inc
DBA Doing business as Wil Mark Pharmacy
Authorized official Shah, Vinod
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2006
Last updated Jun 8th, 2010 - about 14 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 1396777918 NPPES
New York MEDICAID 01047341
New York Other 3303714

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