Melrose Pharmacy

LBN: 666 Drug Inc
Melrose Pharmacy is an health care organization with primary practice located at 666 Courtlandt Ave , Bronx NY 10451-5018. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. 666 Drug Inc can be contacted via phone (718) 292-1856, or through Detura, James Anthony via phone (718) 292-1856.

Contact Information

Primary practice address
666 Courtlandt Ave Bronx NY 10451-5018
Phone: (718) 292-1856
Fax: (718) 665-2123
Website:
Map and Directions
Authorized official contact:
Name: Detura, James Anthony
Phone: (718) 292-1856

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 017367 New York

Profile Details

NPI number 1821063504
LBN Legal business name 666 Drug Inc
DBA Doing business as Melrose Pharmacy
Authorized official Detura, James Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1821063504 NPPES
New York MEDICAID 01129033

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