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Contact Information

HENDERSON'S DRUG STORE, INC.
1923 LAKE AVE.
LIMA, NY14485
 Phone: 585-582-1140
 Fax: 585-582-1146
 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 Number 1699732388
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 # 027610
NY Medicaid 02710429
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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