Express Drug Store Inc

LBN: Express Drug Store Inc
Express Drug Store Inc is an health care organization with primary practice located at 1408 Avenue J , Brooklyn NY 11230-3702. 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. Express Drug Store Inc can be contacted via phone (718) 677-5800, or through Perelman, Dmitriy via phone (718) 677-5800.

Contact Information

Primary practice address
1408 Avenue J Brooklyn NY 11230-3702
Phone: (718) 677-5800
Fax: (718) 677-0708
Website:
Map and Directions
Authorized official contact:
Name: Perelman, Dmitriy PHARMD
Phone: (718) 677-5800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 025578 New York

Profile Details

NPI number 1750362992
LBN Legal business name Express Drug Store Inc
DBA Doing business as
Authorized official Perelman, Dmitriy PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2005
Last updated Dec 15th, 2010 - about 16 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 1750362992 NPPES
Other 4858750001 MEDICARE PTAN
MEDICAID 02374990 MEDICARE PTAN
Other 3329946 MEDICARE PTAN

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