Kingsboro Pharmacy

LBN: 870 Southern Drug Corp.
Kingsboro Pharmacy is an health care organization with primary practice located at 924 Myrtle Avenue , Brooklyn NY 11206-7295. 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. 870 Southern Drug Corp. can be contacted via phone (718) 443-6000, or through Pohl, Joseph P via phone (724) 779-4720.

Contact Information

Primary practice address
924 Myrtle Avenue Brooklyn NY 11206-7295
Phone: (718) 443-6000
Fax: (718) 874-3638
Website:
Map and Directions
Authorized official contact:
Name: Pohl, Joseph P
Phone: (724) 779-4720

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 029877 New York

Profile Details

NPI number 1104916089
LBN Legal business name 870 Southern Drug Corp.
DBA Doing business as Kingsboro Pharmacy
Authorized official Pohl, Joseph P
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated May 4th, 2020 - about 5 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 1104916089 NPPES
Other 2123798 PK
MEDICAID 3158481 PK

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