Value Village Inc

LBN: Value Village Inc
Value Village Inc is an health care organization with primary practice located at 1620 Route 22 , Brewster NY 10509-4051. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Value Village Inc can be contacted via phone (845) 278-8224, or through Sousa, Carla via phone (845) 278-8224.

Contact Information

Primary practice address
1620 Route 22 Brewster NY 10509-4051
Fax: (845) 278-6403
Website:
Authorized official contact:
Name: Sousa, Carla

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 026459 New York
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1114932720
LBN Legal business name Value Village Inc
DBA Doing business as
Authorized official Sousa, Carla
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Feb 14th, 2008 - about 17 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 1114932720 NPPES
New York MEDICAID 02634788
New York Other 3340293

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