Miller Pharmacy

LBN: E T Drugs Inc
Miller Pharmacy is an health care organization with primary practice located at 173 Broad St , Staten Island NY 10304-2057. 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. E T Drugs Inc can be contacted via phone (718) 447-4127, or through Asedo, Ethan via phone (718) 442-4127.

Contact Information

Primary practice address
173 Broad St Staten Island NY 10304-2057
Phone: (718) 447-4127
Fax: (718) 273-1232
Website:
Map and Directions
Authorized official contact:
Name: Asedo, Ethan BS
Phone: (718) 442-4127

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 017642 New York

Profile Details

NPI number 1376655381
LBN Legal business name E T Drugs Inc
DBA Doing business as Miller Pharmacy
Authorized official Asedo, Ethan BS
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 13th, 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 1376655381 NPPES
Other 2061728 PK
MEDICAID 00745331 PK

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