Central Ave Pharmacy Llc

LBN: Central Ave Pharmacy Llc
Central Ave Pharmacy Llc is an health care organization with primary practice located at 355 Central Ave # 363 , East Orange NJ 07018. 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. Central Ave Pharmacy Llc can be contacted via phone (973) 666-5363, or through Tammaa, Elmoatazbellah A via phone (631) 572-7973.

Contact Information

Primary practice address
355 Central Ave # 363 East Orange NJ 07018
Phone: (973) 666-5363
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tammaa, Elmoatazbellah A
Phone: (631) 572-7973

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1417624297
LBN Legal business name Central Ave Pharmacy Llc
DBA Doing business as
Authorized official Tammaa, Elmoatazbellah A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2021
Last updated May 6th, 2022 - about 2 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 1417624297 NPPES
New Jersey Other 28RS00785200 NJ STATE BOARD OF PHARMACY

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