5Th Avenue Pharmacy Inc

LBN: 5Th Avenue Pharmacy Inc
5Th Avenue Pharmacy Inc is an health care organization with primary practice located at 4818 5Th Ave , Brooklyn NY 11220-1936. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. 5Th Avenue Pharmacy Inc can be contacted via phone (718) 439-8585, or through Pudel, Avraham via phone (718) 439-8585.

Contact Information

Primary practice address
4818 5Th Ave Brooklyn NY 11220-1936
Phone: (718) 439-8585
Fax: (718) 439-8567
Website:
Map and Directions
Authorized official contact:
Name: Pudel, Avraham
Phone: (718) 439-8585

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 027438 New York
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1285731109
LBN Legal business name 5Th Avenue Pharmacy Inc
DBA Doing business as
Authorized official Pudel, Avraham
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Feb 27th, 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 1285731109 NPPES
New York MEDICAID 02703840
New York Other 3347994

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