<Unavail>

LBN: Maxi Drug South Lp
<Unavail> is an health care organization with primary practice located at 150 Mineral Spring Avenue , Pawtucket RI 02860-2810. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Maxi Drug South Lp can be contacted via phone (401) 726-0547, or through Zorek, Jennifer via phone (717) 975-5937.

Contact Information

Primary practice address
150 Mineral Spring Avenue Pawtucket RI 02860-2810
Phone: (401) 726-0547
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Zorek, Jennifer
Phone: (717) 975-5937

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHA00289 Rhode Island

Profile Details

NPI number 1295835627
LBN Legal business name Maxi Drug South Lp
DBA Doing business as <Unavail>
Authorized official Zorek, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Dec 13th, 2011 - about 15 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 1295835627 NPPES
Rhode Island MEDICAID MD11337
Rhode Island Other 4105171

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