Alico Pharmacy

LBN: 2027 Alico Pharmacy Corp
Alico Pharmacy is an health care organization with primary practice located at 2027 Jerome Ave , Bronx NY 10453-1803. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. 2027 Alico Pharmacy Corp can be contacted via phone (718) 294-1949, or through Rodriguez, Sandy via phone (718) 294-1949.

Contact Information

Primary practice address
2027 Jerome Ave Bronx NY 10453-1803
Phone: (718) 294-1949
Fax: (718) 294-5993
Website:
Map and Directions
Authorized official contact:
Name: Rodriguez, Sandy
Phone: (718) 294-1949

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 028927 New York

Profile Details

NPI number 1518174440
LBN Legal business name 2027 Alico Pharmacy Corp
DBA Doing business as Alico Pharmacy
Authorized official Rodriguez, Sandy
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Apr 9th, 2015 - 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 1518174440 NPPES
Other 2059423 PK
MEDICAID 2961700 PK

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