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Contact Information

102 CENTER CARE PHARMACY INC
102-05B NORTHERN BLVD
CORONA, NY11368
 Phone: 718-587-9010
 Fax: 718-587-9009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

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 102 CENTER CARE PHARMACY INC

NPI # 1679260855
LBN Legal business name 102 CENTER CARE PHARMACY INC
Authorized official MIGUEL BARON - (OWNER/PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2023
Last updated 04/19/2023 - About 3 years ago
Identifiers n/a
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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