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Contact Information

HMB IV PHARMACY MANAGEMENT LLC
1250 WATERS PL
TOWER II
BRONX, NY10461-2720
 Phone: 718-975-7774
 Fax: 718-975-7776
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HMB IV PHARMACY MANAGEMENT LLC

NPI Number 1114375748
LBN Legal business name HMB IV PHARMACY MANAGEMENT LLC
Authorized official RAJ SHAH - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2016
Last updated 04/04/2022 - About 4 years ago
Identifiers
NY License # 034577
NY Medicaid 4752549
Other 2160312 PK
NY Other 7602020001 MEDICARE
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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