Mahopac Pharmacy Inc.

LBN: Mahopac Pharmacy Inc.
Mahopac Pharmacy Inc. is an health care organization with primary practice located at 936 S Lake Blvd , Mahopac NY 10541-3242. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Mahopac Pharmacy Inc. can be contacted via phone (845) 628-5600, or through Miressi, Laurence via phone (845) 628-5600.

Contact Information

Primary practice address
936 S Lake Blvd Mahopac NY 10541-3242
Phone: (845) 628-5600
Fax: (845) 628-0219
Website:
Map and Directions
Authorized official contact:
Name: Miressi, Laurence
Phone: (845) 628-5600

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 019627 New York

Profile Details

NPI number 1962493452
LBN Legal business name Mahopac Pharmacy Inc.
DBA Doing business as
Authorized official Miressi, Laurence
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2005
Last updated Feb 8th, 2008 - about 18 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 1962493452 NPPES
New York MEDICAID 01056082

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