<Unavail>
LBN: Boulevard Pharmacy Corp
<Unavail> is an health care organization with primary practice located at 10 Nassau Blvd So , Garden City NY 11530. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Boulevard Pharmacy Corp can be contacted via phone (516) 505-7979, or through Minuto, Pasquale via phone (516) 505-7979.
Contact Information
Primary practice address
10 Nassau Blvd So
Garden City NY 11530
Phone: (516) 505-7979
Fax: (516) 505-7981
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 028612 | New York |
Profile Details
| NPI number | 1033309547 |
|---|---|
| LBN Legal business name | Boulevard Pharmacy Corp |
| DBA Doing business as | <Unavail> |
| Authorized official | Minuto, Pasquale |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 31st, 2007 |
| Last updated | Jul 1st, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033309547 | NPPES |
| Other | 3355737 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 03069647 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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