Westside Pharmacy
LBN: Mil-Dan, Inc
Westside Pharmacy is an health care organization with primary practice located at 215 N Hermitage Ave , Trenton NJ 08618-5511. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mil-Dan, Inc can be contacted via phone (609) 394-0600, or through Ettman, Miles K via phone (609) 394-0600.
Contact Information
Primary practice address
215 N Hermitage Ave
Trenton NJ 08618-5511
Phone: (609) 394-0600
Fax: (609) 394-5505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 0125164 | New Jersey |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 28RS00378900 | New Jersey |
Profile Details
| NPI number | 1679517049 |
|---|---|
| LBN Legal business name | Mil-Dan, Inc |
| DBA Doing business as | Westside Pharmacy |
| Authorized official | Ettman, Miles K RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Nov 8th, 2008 - about 16 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 | 1679517049 | NPPES |
| New Jersey | MEDICAID | 0125156 | |
| New Jersey | MEDICAID | 0125164 |
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