<Unavail>

LBN: Austin Wellness Pharmacy, Llc
<Unavail> is an health care organization with primary practice located at 6902 Austin St Ste G3 , Forest Hills NY 11375-4250. 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. Austin Wellness Pharmacy, Llc can be contacted via phone (718) 263-6688, or through Caddick, Steve via phone (570) 877-2536.

Contact Information

Primary practice address
6902 Austin St Ste G3 Forest Hills NY 11375-4250
Phone: (718) 263-6688
Fax: (718) 263-6690
Website:
Map and Directions
Authorized official contact:
Name: Caddick, Steve
Phone: (570) 877-2536

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 032977 New York

Profile Details

NPI number 1376040683
LBN Legal business name Austin Wellness Pharmacy, Llc
DBA Doing business as <Unavail>
Authorized official Caddick, Steve
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2018
Last updated Apr 12th, 2018 - about 8 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 1376040683 NPPES
Other 2176863 PK
MEDICAID 4050804 PK

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