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Contact Information

BROADALBIN PHARMACY INC
6 N MAIN ST
BROADALBIN, NY12025
 Phone: 518-883-8333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BROADALBIN PHARMACY INC

NPI Number 1164633558
LBN Legal business name BROADALBIN PHARMACY INC
Authorized official MICHAEL JULIUS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/25/2007
Last updated 06/07/2010 - About 16 years ago
Identifiers
NY License # 020051
NY Medicaid 01104489
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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