Bardonia Pharmacy

LBN: Bardonia Pharmacy Llc
Bardonia Pharmacy is an health care organization with primary practice located at 301 Route 304 Ste 4 , Bardonia NY 10954-2146. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bardonia Pharmacy Llc can be contacted via phone (845) 507-0555, or through Samuel, John via phone (845) 507-0555.

Contact Information

Primary practice address
301 Route 304 Ste 4 Bardonia NY 10954-2146
Phone: (845) 507-0555
Fax: (845) 507-0012
Website:
Map and Directions
Authorized official contact:
Name: Samuel, John
Phone: (845) 507-0555

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 034625 New York
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1316492721
LBN Legal business name Bardonia Pharmacy Llc
DBA Doing business as Bardonia Pharmacy
Authorized official Samuel, John
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2016
Last updated May 31st, 2022 - about 4 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 1316492721 NPPES
Other 2162341 PK
MEDICAID 04625201 PK

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