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
Phone: (201) 792-9881
Fax: (201) 792-9882
Website:
Health care specialties
Specialty | Code | License # | 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 11 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 | 1811018377 | NPPES |
Other | 2055241 | PK | |
MEDICAID | 0003310 | PK |
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