Medwiz Pharmacy Llc
LBN: Medwiz Pharmacy Llc
Medwiz Pharmacy Llc is an health care organization with primary practice located at 240 N Main St , Spring Valley NY 10977-4020. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Medwiz Pharmacy Llc can be contacted via phone (845) 624-5200, or through Newhouse, Eric via phone (845) 624-5200.
Contact Information
Primary practice address
240 N Main St
Spring Valley NY 10977-4020
Phone: (845) 624-5200
Fax: (845) 624-5300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 28RO00140500 | New Jersey |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | PH30176 | Florida |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 029312 | New York |
Profile Details
| NPI number | 1093239337 |
|---|---|
| LBN Legal business name | Medwiz Pharmacy Llc |
| DBA Doing business as | Medwiz Pharmacy Llc |
| Authorized official | Newhouse, Eric |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 28th, 2017 |
| Last updated | Jul 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093239337 | NPPES |
| Other | 2170111 | PK | |
| MEDICAID | 04418659 | PK | |
| MEDICAID | 0548826 | PK |
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