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Contact Information

LEWISBORO PHARMACY INC
20 N SALEM RD
CROSS RIVER, NY10518-1104
 Phone: 914-763-3152
 Fax: 914-763-6567
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LEWISBORO PHARMACY INC

NPI Number 1023177490
LBN Legal business name LEWISBORO PHARMACY INC
Authorized official STUART FELDMAN - (VP PIC OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/08/2006
Last updated 11/21/2016 - About 10 years ago
Identifiers
NY License # 014021
NY Medicaid 01496006
Other 2068722 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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