<Unavail>

LBN: East Islip Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 126 E Main St , East Islip NY 11730-2600. 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. East Islip Pharmacy Inc can be contacted via phone (631) 581-9620, or through Dandamudi, Venkat via phone (631) 581-9620.

Contact Information

Primary practice address
126 E Main St East Islip NY 11730-2600
Phone: (631) 581-9620
Fax: (631) 581-9410
Website:
Map and Directions
Authorized official contact:
Name: Dandamudi, Venkat
Phone: (631) 581-9620

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 033755 New York

Profile Details

NPI number 1285724534
LBN Legal business name East Islip Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Dandamudi, Venkat
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2006
Last updated Apr 16th, 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 1285724534 NPPES
New York MEDICAID 04223896
New York Other 2153291

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