59 St Pharmacy

LBN: 59 St Pharmacy Inc
59 St Pharmacy is an health care organization with primary practice located at 5816 4Th Ave , Brooklyn NY 11220-3810. 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. 59 St Pharmacy Inc can be contacted via phone (718) 567-0019, or through Basman, Aziz via phone (718) 567-0019.

Contact Information

Primary practice address
5816 4Th Ave Brooklyn NY 11220-3810
Phone: (718) 567-0019
Fax: (718) 567-0029
Website:
Map and Directions
Authorized official contact:
Name: Basman, Aziz
Phone: (718) 567-0019

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 032821 New York

Profile Details

NPI number 1114338266
LBN Legal business name 59 St Pharmacy Inc
DBA Doing business as 59 St Pharmacy
Authorized official Basman, Aziz
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2014
Last updated Mar 8th, 2017 - about 9 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 1114338266 NPPES
New York MEDICAID 04213801
New York Other 2146637

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