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Contact Information

18TH AVE PHARMACY CORP
5411 18TH AVE
BROOKLYN, NY11204-1928
 Phone: 718-331-3600
 Fax: 718-331-3099
 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 18TH AVE PHARMACY CORP

NPI # 1285748251
LBN Legal business name 18TH AVE PHARMACY CORP
Authorized official GRIGORY BEYLIK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2006
Last updated 11/25/2014 - About 12 years ago
Identifiers
NY License # 025629
NY Medicaid 02376772
Other 2058804 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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