<Unavail>

LBN: Triboro Pharmacy
<Unavail> is an health care organization with primary practice located at 3720 Ditmars Blvd , Astoria NY 11105-1841. 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. Triboro Pharmacy can be contacted via phone (718) 777-7033, or through Athanasatos, John via phone (917) 865-7754.

Contact Information

Primary practice address
3720 Ditmars Blvd Astoria NY 11105-1841
Fax: (718) 777-7038
Website:
Authorized official contact:
Name: Athanasatos, John RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 031263 New York

Profile Details

NPI number 1770858680
LBN Legal business name Triboro Pharmacy
DBA Doing business as <Unavail>
Authorized official Athanasatos, John RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2012
Last updated Apr 20th, 2016 - about 10 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 1770858680 NPPES
New York MEDICAID 03455465
New York Other 2134928

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