Mack'S Pharmacy

LBN: Goldstein Pharmaceuticals Services Inc
Mack'S Pharmacy is an health care organization with primary practice located at 3628 E Thomas Rd , Phoenix AZ 85018-7502. 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. Goldstein Pharmaceuticals Services Inc can be contacted via phone (602) 956-8540, or through Goldstein, Larry via phone (602) 956-8540.

Contact Information

Primary practice address
3628 E Thomas Rd Phoenix AZ 85018-7502
Fax: (602) 957-0291
Website:
Authorized official contact:
Name: Goldstein, Larry

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X Y002107 Arizona

Profile Details

NPI number 1386655959
LBN Legal business name Goldstein Pharmaceuticals Services Inc
DBA Doing business as Mack'S Pharmacy
Authorized official Goldstein, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Sep 13th, 2011 - about 15 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 1386655959 NPPES
Other 0305993 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 300567 NCPDP PROVIDER IDENTIFICATION NUMBER

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