St Mark Pharmacy

LBN: Mina Pharmacy Corp
St Mark Pharmacy is an health care organization with primary practice located at 875 Bergen Ave , Jersey City NJ 07306-4405. 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. Mina Pharmacy Corp can be contacted via phone (201) 792-9881, or through Makar, Said via phone (201) 792-9881.

Contact Information

Primary practice address
875 Bergen Ave Jersey City NJ 07306-4405
Fax: (201) 792-9882
Website:
Authorized official contact:
Name: Makar, Said

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00626300 New Jersey

Profile Details

NPI number 1811018377
LBN Legal business name Mina Pharmacy Corp
DBA Doing business as St Mark Pharmacy
Authorized official Makar, Said
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Jul 10th, 2014 - about 10 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 1811018377 NPPES
Other 2055241 PK
MEDICAID 0003310 PK

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