Fourth Avenue Pharmacy
LBN: Fourth Ave Pharmacy Llc
Fourth Avenue Pharmacy is an health care organization with primary practice located at 329 Roseville Ave , Newark NJ 07107-1757. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Fourth Ave Pharmacy Llc can be contacted via phone (973) 483-3872, or through Gajera, Ayush via phone (973) 483-3872.
Contact Information
Primary practice address
329 Roseville Ave
Newark NJ 07107-1757
Phone: (973) 483-3872
Fax: (973) 483-6956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 28RS00335200 | New Jersey |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1225130354 |
|---|---|
| LBN Legal business name | Fourth Ave Pharmacy Llc |
| DBA Doing business as | Fourth Avenue Pharmacy |
| Authorized official | Gajera, Ayush |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Apr 19th, 2017 - about 8 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 | 1225130354 | NPPES |
| Other | 2132840 | PK |
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