Bald Eagle Pharmacy

LBN: Bald Eagle Pharmacy Llc
Bald Eagle Pharmacy is an health care organization with primary practice located at 610 Valley Health Plz , Paramus NJ 07652. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Bald Eagle Pharmacy Llc can be contacted via phone (201) 225-0970, or through Guercio, Anthony via phone (973) 728-2007.

Contact Information

Primary practice address
610 Valley Health Plz Paramus NJ 07652
Fax: (201) 225-0973
Website:
Authorized official contact:
Name: Guercio, Anthony

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 28RI02690900 New Jersey

Profile Details

NPI number 1154336790
LBN Legal business name Bald Eagle Pharmacy Llc
DBA Doing business as Bald Eagle Pharmacy
Authorized official Guercio, Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Jun 7th, 2018 - about 6 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 1154336790 NPPES
New Jersey MEDICAID 0093181
New Jersey Other 3193391

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