Marlboro Village Pharmacy, Inc
LBN: Marlboro Village Pharmacy Inc
Marlboro Village Pharmacy, Inc is an health care organization with primary practice located at 12 School Rd W , Marlboro NJ 07746-1507. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Marlboro Village Pharmacy Inc can be contacted via phone (732) 617-6060, or through Hish, Stansislav via phone (732) 617-6060.
Contact Information
Primary practice address
12 School Rd W
Marlboro NJ 07746-1507
Phone: (732) 617-6060
Fax: (732) 719-2323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 28RS00726200 | New Jersey |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1003162041 |
|---|---|
| LBN Legal business name | Marlboro Village Pharmacy Inc |
| DBA Doing business as | Marlboro Village Pharmacy, Inc |
| Authorized official | Hish, Stansislav |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 27th, 2012 |
| Last updated | Dec 30th, 2020 - about 4 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 | 1003162041 | NPPES |
| New Jersey | MEDICAID | 0406864 | |
| New Jersey | Other | 2136249 |
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