Healthsource Pharmacy
LBN: Healthsource Pharmacy Iv, Llc
Healthsource Pharmacy is an health care organization with primary practice located at 750 Columbus Ave , New York NY 10025-6464. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Healthsource Pharmacy Iv, Llc can be contacted via phone (212) 932-0200, or through Niyazov, Boris via phone (917) 482-1154.
Contact Information
Primary practice address
750 Columbus Ave
New York NY 10025-6464
Phone: (212) 932-0200
Fax: (212) 932-0202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 035496 | New York |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1053841312 |
|---|---|
| LBN Legal business name | Healthsource Pharmacy Iv, Llc |
| DBA Doing business as | Healthsource Pharmacy |
| Authorized official | Niyazov, Boris |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 19th, 2017 |
| Last updated | Jun 19th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053841312 | NPPES |
| Other | 2169943 | PK |
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