<Unavail>

LBN: Roosevelt Drug Corp
<Unavail> is an health care organization with primary practice located at 74 19 Roosevelt Ave , Jackson Heights NY 11372-6529. 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. Roosevelt Drug Corp can be contacted via phone (718) 424-1291, or through Mir, Shujaat via phone (718) 424-1291.

Contact Information

Primary practice address
74 19 Roosevelt Ave Jackson Heights NY 11372-6529
Phone: (718) 424-1291
Fax: (718) 898-1860
Website:
Map and Directions
Authorized official contact:
Name: Mir, Shujaat
Phone: (718) 424-1291

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 035080 New York

Profile Details

NPI number 1134673965
LBN Legal business name Roosevelt Drug Corp
DBA Doing business as <Unavail>
Authorized official Mir, Shujaat
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2016
Last updated Mar 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134673965 NPPES
Other 2166657 PK

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