Madura Pharmacy Llc

LBN: Madura Pharmacy Llc
Madura Pharmacy Llc is an health care organization with primary practice located at 115 N Broadway , South Amboy NJ 08879-1660. 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. Madura Pharmacy Llc can be contacted via phone (732) 721-1732, or through Wolpin, Anne via phone (732) 721-1732.

Contact Information

Primary practice address
115 N Broadway South Amboy NJ 08879-1660
Phone: (732) 721-1732
Fax: (732) 721-5840
Website:
Map and Directions
Authorized official contact:
Name: Wolpin, Anne
Phone: (732) 721-1732

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00116700 New Jersey

Profile Details

NPI number 1699710079
LBN Legal business name Madura Pharmacy Llc
DBA Doing business as Madura Pharmacy Llc
Authorized official Wolpin, Anne
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Jun 16th, 2011 - about 13 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 1699710079 NPPES
Other 3115234 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 4249801 NCPDP PROVIDER IDENTIFICATION NUMBER

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