3340 Broadway Pharmacy

LBN: 3340 Broadway Pharmacy 2 Inc
3340 Broadway Pharmacy is an health care organization with primary practice located at 3621 Broadway , New York NY 10031-2518. 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. 3340 Broadway Pharmacy 2 Inc can be contacted via phone (212) 926-9800, or through Perez, Edwin via phone (212) 926-9800.

Contact Information

Primary practice address
3621 Broadway New York NY 10031-2518
Phone: (212) 926-9800
Fax: (212) 926-2228
Website:
Map and Directions
Authorized official contact:
Name: Perez, Edwin
Phone: (212) 926-9800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 027032 New York

Profile Details

NPI number 1427130210
LBN Legal business name 3340 Broadway Pharmacy 2 Inc
DBA Doing business as 3340 Broadway Pharmacy
Authorized official Perez, Edwin
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Oct 27th, 2014 - 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 1427130210 NPPES
Other 2063653 PK
MEDICAID 02648108 PK

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