<Unavail>

LBN: Phoenicia Pharmacy
<Unavail> is an health care organization with primary practice located at 41 Main St , Phoenicia NY 12464-5211. 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. Phoenicia Pharmacy can be contacted via phone (845) 688-2215, or through Millman, Martin via phone (845) 688-2215.

Contact Information

Primary practice address
41 Main St Phoenicia NY 12464-5211
Phone: (845) 688-2215
Fax: (845) 688-2917
Website:
Map and Directions
Authorized official contact:
Name: Millman, Martin
Phone: (845) 688-2215

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 017198 New York

Profile Details

NPI number 1699833715
LBN Legal business name Phoenicia Pharmacy
DBA Doing business as <Unavail>
Authorized official Millman, Martin
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Jan 27th, 2014 - about 12 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 1699833715 NPPES
Other 2061114 PK
MEDICAID 00628813 PK

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