South Station Pharmacy Inc

LBN: South Station Pharmacy Inc
South Station Pharmacy Inc is an health care organization with primary practice located at 26 S Station Plz , Great Neck NY 11021-3531. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. South Station Pharmacy Inc can be contacted via phone (516) 708-1300, or through Kikov, Kiefer via phone (917) 407-3104.

Contact Information

Primary practice address
26 S Station Plz Great Neck NY 11021-3531
Phone: (516) 708-1300
Fax: (516) 708-1303
Website:
Map and Directions
Authorized official contact:
Name: Kikov, Kiefer PHARMD
Phone: (917) 407-3104

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1932767084
LBN Legal business name South Station Pharmacy Inc
DBA Doing business as
Authorized official Kikov, Kiefer PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2019
Last updated Jun 4th, 2019 - about 7 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 1932767084 NPPES
New York MEDICAID 1851849400

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