30Th Avenue Pharmacy Inc

LBN: 30Th Avenue Pharmacy Inc
30Th Avenue Pharmacy Inc is an health care organization with primary practice located at 3506 30Th Ave , Astoria NY 11103-4623. 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. 30Th Avenue Pharmacy Inc can be contacted via phone (718) 777-8544, or through Abdullah, Areej via phone (718) 777-8544.

Contact Information

Primary practice address
3506 30Th Ave Astoria NY 11103-4623
Phone: (718) 777-8544
Fax: (718) 777-8546
Website:
Map and Directions
Authorized official contact:
Name: Abdullah, Areej
Phone: (718) 777-8544

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 034410 New York

Profile Details

NPI number 1518321645
LBN Legal business name 30Th Avenue Pharmacy Inc
DBA Doing business as 30Th Avenue Pharmacy Inc
Authorized official Abdullah, Areej
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2016
Last updated Jan 17th, 2024 - about 2 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 1518321645 NPPES
New York MEDICAID PENDING
New York Other 2159780

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