Gallo'S Health Mart Pharmacy
LBN: Gallos Live Well Pharmacy Inc
Gallo'S Health Mart Pharmacy is an health care organization with primary practice located at 192 Rochelle Ave , Rochelle Park NJ 07662-4111. 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.
Gallos Live Well Pharmacy Inc can be contacted via phone (201) 843-1350, or through Kubulak, Joseph via phone (201) 843-1350.
Contact Information
Primary practice address
192 Rochelle Ave
Rochelle Park NJ 07662-4111
Phone: (201) 843-1350
Fax: (201) 843-2455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 28RS00388100 | New Jersey |
Profile Details
| NPI number | 1861599797 |
|---|---|
| LBN Legal business name | Gallos Live Well Pharmacy Inc |
| DBA Doing business as | Gallo'S Health Mart Pharmacy |
| Authorized official | Kubulak, Joseph |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Nov 16th, 2016 - 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 | 1861599797 | NPPES |
| Other | 2122854 | PK | |
| MEDICAID | 0235351 | PK |
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