Southold Pharmacy

LBN: Southold Pharmacy Inc
Southold Pharmacy is an health care organization with primary practice located at 53895 Main Rd , Southold NY 11971-4644. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Southold Pharmacy Inc can be contacted via phone (631) 765-3434, or through Ofrias, Paulette via phone (631) 765-3434.

Contact Information

Primary practice address
53895 Main Rd Southold NY 11971-4644
Fax: (631) 765-4395
Website:
Authorized official contact:
Name: Ofrias, Paulette

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 010139 New York

Profile Details

NPI number 1245314087
LBN Legal business name Southold Pharmacy Inc
DBA Doing business as Southold Pharmacy
Authorized official Ofrias, Paulette
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Feb 21st, 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 1245314087 NPPES
Other 2064071 PK

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