Fanwood Pharmacy

LBN: Fanwood Rx Corp
Fanwood Pharmacy is an health care organization with primary practice located at 45 S Martine Ave , Fanwood NJ 07023-1216. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Fanwood Rx Corp can be contacted via phone (908) 680-6936, or through Patel, Mitul P via phone (908) 680-6936.

Contact Information

Primary practice address
45 S Martine Ave Fanwood NJ 07023-1216
Phone: (908) 680-6936
Fax: (908) 680-6937
Website:
Map and Directions
Authorized official contact:
Name: Patel, Mitul P PHARMD
Phone: (908) 680-6936

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00749500 New Jersey
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1851740401
LBN Legal business name Fanwood Rx Corp
DBA Doing business as Fanwood Pharmacy
Authorized official Patel, Mitul P PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2016
Last updated Jul 8th, 2024 - about 4 months 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 1851740401 NPPES
New Jersey MEDICAID 0547891
New Jersey Other 2160637

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