Black Oak Pharmacy

LBN: Bop Rx Inc
Black Oak Pharmacy is an health care organization with primary practice located at 879 Black Oak Ridge Rd Unit 2 , Wayne NJ 07470-6400. 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. Bop Rx Inc can be contacted via phone (973) 837-8770, or through Ruditser, Jonathan via phone (973) 837-8770.

Contact Information

Primary practice address
879 Black Oak Ridge Rd Unit 2 Wayne NJ 07470-6400
Phone: (973) 837-8770
Fax: (973) 837-8771
Website:
Map and Directions
Authorized official contact:
Name: Ruditser, Jonathan
Phone: (973) 837-8770

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00759100 New Jersey

Profile Details

NPI number 1790295616
LBN Legal business name Bop Rx Inc
DBA Doing business as Black Oak Pharmacy
Authorized official Ruditser, Jonathan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2017
Last updated Jul 19th, 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 1790295616 NPPES
New Jersey MEDICAID 0606014
New Jersey Other 2171984

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