Montour Pharmacy

LBN: Henderson'S Drug Store, Inc.
Montour Pharmacy is an health care organization with primary practice located at 320 W Main Street , Montour Falls NY 14865. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Henderson'S Drug Store, Inc. can be contacted via phone (607) 535-7272, or through Jepsen, Lawrence A via phone (607) 535-4999.

Contact Information

Primary practice address
320 W Main Street Montour Falls NY 14865
Phone: (607) 535-7272
Fax: (607) 535-4079
Website:
Map and Directions
Authorized official contact:
Name: Jepsen, Lawrence A
Phone: (607) 535-4999

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 025563 New York

Profile Details

NPI number 1184681868
LBN Legal business name Henderson'S Drug Store, Inc.
DBA Doing business as Montour Pharmacy
Authorized official Jepsen, Lawrence A
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2006
Last updated Mar 4th, 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 1184681868 NPPES
New York MEDICAID 02363844

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