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Contact Information

HENDERSON'S DRUG STORE, INC.
320 W MAIN STREET
MONTOUR FALLS, NY14865
 Phone: 607-535-7272
 Fax: 607-535-4079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HENDERSON'S DRUG STORE, INC.

NPI # 1184681868
LBN Legal business name HENDERSON'S DRUG STORE, INC.
Authorized official LAWRENCE JEPSEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2006
Last updated 03/04/2010 - About 16 years ago
Identifiers
NY License # 025563
NY Medicaid 02363844
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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