Cpw Pharmacy

LBN: 12116 Liberty Avenue Drugs Inc.
Cpw Pharmacy is an health care organization with primary practice located at 12116 Liberty Ave , South Richmond Hill NY 11419-2112. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. 12116 Liberty Avenue Drugs Inc. can be contacted via phone (718) 322-4900, or through Bacchus-Quddus, Diane Shanaz via phone (718) 322-4900.

Contact Information

Primary practice address
12116 Liberty Ave South Richmond Hill NY 11419-2112
Phone: (718) 322-4900
Fax: (718) 322-3121
Website:
Map and Directions
Authorized official contact:
Name: Bacchus-Quddus, Diane Shanaz
Phone: (718) 322-4900

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 027272 New York

Profile Details

NPI number 1568550333
LBN Legal business name 12116 Liberty Avenue Drugs Inc.
DBA Doing business as Cpw Pharmacy
Authorized official Bacchus-Quddus, Diane Shanaz
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2006
Last updated Jun 13th, 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 1568550333 NPPES
New York MEDICAID 02673476

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