Fresh Imperium Pharmacy Jefferson

LBN: Fresh Emporium Food Market, Corp
Fresh Imperium Pharmacy Jefferson is an health care organization with primary practice located at 757 State Route 15 S , Lake Hopatcong NJ 07849-2284. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Fresh Emporium Food Market, Corp can be contacted via phone (862) 803-9027, or through Granger, Paul via phone (717) 324-4924.

Contact Information

Primary practice address
757 State Route 15 S Lake Hopatcong NJ 07849-2284
Phone: (862) 803-9027
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Granger, Paul
Phone: (717) 324-4924

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 28RS00753600 New Jersey
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1407392343
LBN Legal business name Fresh Emporium Food Market, Corp
DBA Doing business as Fresh Imperium Pharmacy Jefferson
Authorized official Granger, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2017
Last updated Jan 17th, 2017 - about 7 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 1407392343 NPPES
Other 2167102 PK

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