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Contact Information

GENOVESE DRUG STORES INC
700 43 PATCHOGUE YAPHANK ROAD
MEDFORD, NY11763
 Phone: 631-345-0535
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for GENOVESE DRUG STORES INC

NPI # 1598866303
LBN Legal business name GENOVESE DRUG STORES INC
Authorized official JENNIFER ZOREK - (MANAGER ONLINE ADJUDICATION)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2006
Last updated 10/05/2011 - About 15 years ago
Identifiers
NY License # 020131
NY Medicaid 01118854
Other 3393890 OTHER ID 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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