<Unavail>

LBN: Ivylea Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 2446 Elmwood Ave , Kenmore NY 14217-2244. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ivylea Pharmacy Inc can be contacted via phone (716) 873-1444, or through Barons, Charles via phone (716) 873-1444.

Contact Information

Primary practice address
2446 Elmwood Ave Kenmore NY 14217-2244
Phone: (716) 873-1444
Fax: (716) 873-5496
Website:
Map and Directions
Authorized official contact:
Name: Barons, Charles DOCTOR OF PHARM
Phone: (716) 873-1444

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 028936 New York
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1144324104
LBN Legal business name Ivylea Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Barons, Charles DOCTOR OF PHARM
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Apr 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144324104 NPPES
New York MEDICAID 3125197
New York MEDICAID 03125197
New York Other 2059325

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