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Contact Information

MIDRAG NINE PHARMACY INC
417 TARRYTOWN ROAD
WHITE PLAINS, NY10607
 Phone: 914-948-4141
 Fax: 914-948-7559
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MIDRAG NINE PHARMACY INC

NPI # 1346226891
LBN Legal business name MIDRAG NINE PHARMACY INC
Authorized official LAURENCE MIRESSI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/16/2005
Last updated 02/10/2017 - About 9 years ago
Identifiers
NY License # 023767
NY Medicaid 01927206
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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