Organization Name: | EMPIRE PHARMACY & SURGICAL SUPPLY INC. |
NPI Number: | 1528161072 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK CHRISTOPHER MARTELL (PRESIDENT/SUPERVISING PHARMACIST) |
Mailing Address: | 50-17 Queens Blvd Woodside |
State: | NY US |
Postal Code: | 113774452 |
Phone Number: | 7182051275 |
Fax Number: | |
NPI Enumeration Date: | 09/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0986785 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |