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Contact Information

5775 MAELOU DRIVE OPERATING COMPANY, LLC
5775 MAELOU DR
HAMBURG, NY14075-7419
 Phone: 716-648-2820
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for 5775 MAELOU DRIVE OPERATING COMPANY, LLC

NPI Number 1184058083
LBN Legal business name 5775 MAELOU DRIVE OPERATING COMPANY, LLC
Authorized official JEFFREY RUBIN - (CO-CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/27/2013
Last updated 01/19/2023 - About 3 years ago
Identifiers
NY Other 031934 NY BOARD OF PHARMACY REGISTRATION
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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