<Unavail>

LBN: Maple Ave Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 48 Bakertown Road Suite 101, Monroe NY 10950. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Maple Ave Pharmacy Inc can be contacted via phone (845) 774-1464, or through Weissman, Isreal Meilech via phone (845) 774-1464.

Contact Information

Primary practice address
48 Bakertown Road Suite 101 Monroe NY 10950
Phone: (845) 774-1464
Fax: (845) 774-1454
Website:
Map and Directions
Authorized official contact:
Name: Weissman, Isreal Meilech
Phone: (845) 774-1464

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 027013 New York
Suppliers / Community/Retail Pharmacy 3336C0003X 027013 New York

Profile Details

NPI number 1396748810
LBN Legal business name Maple Ave Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Weissman, Isreal Meilech
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2005
Last updated Dec 5th, 2018 - about 8 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 1396748810 NPPES
New York MEDICAID 02638668

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