Main Street Specialty Pharmacy

LBN: Borawala Llc
Main Street Specialty Pharmacy is an health care organization with primary practice located at 881 Main St Unit 4, Sayreville NJ 08872-1456. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Borawala Llc can be contacted via phone (732) 475-3311, or through Borawala, Anup via phone (732) 735-2691.

Contact Information

Primary practice address
881 Main St Unit 4 Sayreville NJ 08872-1456
Phone: (732) 475-3311
Fax: (732) 475-3322
Website:
Map and Directions
Authorized official contact:
Name: Borawala, Anup
Phone: (732) 735-2691

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Specialty Pharmacy 3336S0011X 28RS00755200 New Jersey

Profile Details

NPI number 1497288666
LBN Legal business name Borawala Llc
DBA Doing business as Main Street Specialty Pharmacy
Authorized official Borawala, Anup
Entity Organization
Organization subpart 1 No
Enumeration date Apr 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 1497288666 NPPES
New Jersey MEDICAID 0614696
New Jersey Other 2168654

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