Mtm Pharmacy Services

LBN: Ccrx Of New York, Llc
Mtm Pharmacy Services is an health care organization with primary practice located at 84 Patrick Ln , Poughkeepsie NY 12603-2936. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Ccrx Of New York, Llc can be contacted via phone (845) 485-3784, or through Habecker, Scott D via phone (717) 810-1950.

Contact Information

Primary practice address
84 Patrick Ln Poughkeepsie NY 12603-2936
Phone: (845) 485-3784
Fax: (845) 485-2853
Website:
Map and Directions
Authorized official contact:
Name: Habecker, Scott D
Phone: (717) 810-1950

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 027843 New York

Profile Details

NPI number 1083721104
LBN Legal business name Ccrx Of New York, Llc
DBA Doing business as Mtm Pharmacy Services
Authorized official Habecker, Scott D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 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 1083721104 NPPES
New York MEDICAID 02749379

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