<Unavail>

LBN: Shoreview Specialty Inc
<Unavail> is an health care organization with primary practice located at 1853 Cropsey Ave , Brooklyn NY 11214-6035. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Shoreview Specialty Inc can be contacted via phone (718) 265-4646, or through Sulehri, Fasial via phone (718) 265-4646.

Contact Information

Primary practice address
1853 Cropsey Ave Brooklyn NY 11214-6035
Fax: (718) 265-1406
Website:
Authorized official contact:
Name: Sulehri, Fasial

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 033723 New York
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1598142259
LBN Legal business name Shoreview Specialty Inc
DBA Doing business as <Unavail>
Authorized official Sulehri, Fasial
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2015
Last updated Apr 21st, 2021 - about 5 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 1598142259 NPPES
Other 2151880 PK
MEDICAID 04239149 PK

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