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Contact Information

DIABETIC CARE RX LLC
3715 23RD AVE
ASTORIA, NY11105-1993
 Phone: 718-777-0602
 Fax: 718-777-0603
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DIABETIC CARE RX LLC

NPI Number 1134360142
LBN Legal business name DIABETIC CARE RX LLC
Authorized official JASARA MOHAMMED - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2009
Last updated 12/10/2012 - About 13 years ago
Identifiers
NY License # 029371
Other 3360574 NCPDP PROVIDER IDENTIFICATION NUMBER
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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