Park Madison Pharmacy

LBN: Madison Pharmacy Inc
Park Madison Pharmacy is an health care organization with primary practice located at 400 W Front St , Plainfield NJ 07060-1120. 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. Madison Pharmacy Inc can be contacted via phone (908) 412-1333, or through Rachamallu, Madhu via phone (908) 412-1333.

Contact Information

Primary practice address
400 W Front St Plainfield NJ 07060-1120
Phone: (908) 412-1333
Fax: (908) 412-6555
Website:
Map and Directions
Authorized official contact:
Name: Rachamallu, Madhu
Phone: (908) 412-1333

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00660100 New Jersey

Profile Details

NPI number 1154374338
LBN Legal business name Madison Pharmacy Inc
DBA Doing business as Park Madison Pharmacy
Authorized official Rachamallu, Madhu
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Aug 18th, 2015 - about 9 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 1154374338 NPPES
New Jersey MEDICAID 0208515
New Jersey Other 2055932

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