East Orange Pharmacy Evergreeen Llc
LBN: East Orange Pharmacy Evergreeen Llc
East Orange Pharmacy Evergreeen Llc is an health care organization with primary practice located at 60 Evergreen Pl Ste 104 , East Orange NJ 07018-2114. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
East Orange Pharmacy Evergreeen Llc can be contacted via phone (862) 444-7188, or through Chiu, Tim via phone (862) 444-7188.
Contact Information
Primary practice address
60 Evergreen Pl Ste 104
East Orange NJ 07018-2114
Phone: (862) 444-7188
Fax: (862) 444-7183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1386270742 |
|---|---|
| LBN Legal business name | East Orange Pharmacy Evergreeen Llc |
| DBA Doing business as | |
| Authorized official | Chiu, Tim |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 18th, 2020 |
| Last updated | Mar 18th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386270742 | NPPES |
| New Jersey | Other | 28RS00662900 | BOARD OF PHARMACY |
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