Spectrum Pharmacy
LBN: Interstate Pharmaceutical Services
Spectrum Pharmacy is an health care organization with primary practice located at 952 Mcdonald Ave , Brooklyn NY 11218-5612. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Interstate Pharmaceutical Services can be contacted via phone (718) 435-3100, or through Konig, Arthur via phone (718) 435-3100.
Contact Information
Primary practice address
952 Mcdonald Ave
Brooklyn NY 11218-5612
Phone: (718) 435-3100
Fax: (718) 435-1671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 019407 | New York |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1457497067 |
|---|---|
| LBN Legal business name | Interstate Pharmaceutical Services |
| DBA Doing business as | Spectrum Pharmacy |
| Authorized official | Konig, Arthur |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Sep 22nd, 2016 - about 10 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 | 1457497067 | NPPES |
| Other | 2064547 | PK | |
| MEDICAID | 01018726 | PK |
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