Southrifty Drug Inc

LBN: Southrifty Drug Inc
Southrifty Drug Inc is an health care organization with primary practice located at 54 Jagger Lane , Southampton NY 11968. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Southrifty Drug Inc can be contacted via phone (631) 283-1506, or through Grisnik, Robert Emil via phone (631) 283-1506.

Contact Information

Primary practice address
54 Jagger Lane Southampton NY 11968
Phone: (631) 283-1506
Fax: (631) 283-4936
Website:
Map and Directions
Authorized official contact:
Name: Grisnik, Robert Emil
Phone: (631) 283-1506

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 007552 New York

Profile Details

NPI number 1083717409
LBN Legal business name Southrifty Drug Inc
DBA Doing business as
Authorized official Grisnik, Robert Emil
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1083717409 NPPES
New York MEDICAID 00665090

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