Classic Pharmacy Inc

LBN: Classic Pharmacy Inc
Classic Pharmacy Inc is an health care organization with primary practice located at 1284 Clove Rd , Staten Island NY 10301-4301. 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. Classic Pharmacy Inc can be contacted via phone (718) 727-0022, or through Brancale, Edward via phone (718) 727-0022.

Contact Information

Primary practice address
1284 Clove Rd Staten Island NY 10301-4301
Phone: (718) 727-0022
Fax: (718) 727-3316
Website:
Map and Directions
Authorized official contact:
Name: Brancale, Edward RPH
Phone: (718) 727-0022

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 021293 New York

Profile Details

NPI number 1093757874
LBN Legal business name Classic Pharmacy Inc
DBA Doing business as Classic Pharmacy Inc
Authorized official Brancale, Edward RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Jan 20th, 2016 - about 10 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 1093757874 NPPES
New York MEDICAID 01332365
New York Other 2063241

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