Medicine Man Pharmacy & Compounding

LBN: Medicine Man Rx Llc
Medicine Man Pharmacy & Compounding is an health care organization with primary practice located at 511 Washington St , Hoboken NJ 07030-4993. 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. Medicine Man Rx Llc can be contacted via phone (201) 942-9777, or through Sutaria, Pankit via phone (201) 942-9777.

Contact Information

Primary practice address
511 Washington St Hoboken NJ 07030-4993
Phone: (201) 942-9777
Fax: (201) 942-9779
Website:
Map and Directions
Authorized official contact:
Name: Sutaria, Pankit
Phone: (201) 942-9777

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00722900 New Jersey

Profile Details

NPI number 1598009383
LBN Legal business name Medicine Man Rx Llc
DBA Doing business as Medicine Man Pharmacy & Compounding
Authorized official Sutaria, Pankit
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2012
Last updated Aug 31st, 2016 - 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 1598009383 NPPES
New Jersey MEDICAID 0383911
New Jersey Other 2153660

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