Aquavita

LBN: Aquavita Llc
Aquavita is an health care organization with primary practice located at 630 Towne Centre Dr , North Brunswick NJ 08902-1236. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Aquavita Llc can be contacted via phone (732) 658-3771, or through Bishai, Fady via phone (732) 801-3235.

Contact Information

Primary practice address
630 Towne Centre Dr North Brunswick NJ 08902-1236
Phone: (732) 658-3771
Fax: (888) 225-2388
Website:
Map and Directions
Authorized official contact:
Name: Bishai, Fady
Phone: (732) 801-3235

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00737700 New Jersey

Profile Details

NPI number 1821488651
LBN Legal business name Aquavita Llc
DBA Doing business as Aquavita
Authorized official Bishai, Fady
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2015
Last updated Feb 2nd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821488651 NPPES
Other 2149917 PK

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