Keeseville Pharmacy Inc

LBN: Keeseville Pharmacy Inc
Keeseville Pharmacy Inc is an health care organization with primary practice located at 1730 Front St , Keeseville NY 12944-3618. 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. Keeseville Pharmacy Inc can be contacted via phone (518) 834-6090, or through Bosley, Daniel via phone (518) 834-6090.

Contact Information

Primary practice address
1730 Front St Keeseville NY 12944-3618
Phone: (518) 834-6090
Fax: (518) 834-7021
Website:
Map and Directions
Authorized official contact:
Name: Bosley, Daniel RPH
Phone: (518) 834-6090

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 017834 New York
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1245318658
LBN Legal business name Keeseville Pharmacy Inc
DBA Doing business as Keeseville Pharmacy Inc
Authorized official Bosley, Daniel RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2006
Last updated Jun 23rd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245318658 NPPES
New York MEDICAID 00775571
New York Other 2061794

Popular Providers