Modern Medicine Rx

LBN: Modern Rx Limited Liability Company
Modern Medicine Rx is an health care organization with primary practice located at 33-41 Newark St Ste 2B , Hoboken NJ 07030-5620. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Modern Rx Limited Liability Company can be contacted via phone (201) 420-9000, or through Reizis, Klara via phone (917) 217-3908.

Contact Information

Primary practice address
33-41 Newark St Ste 2B Hoboken NJ 07030-5620
Fax: (201) 420-4040
Website:
Authorized official contact:
Name: Reizis, Klara

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X 28RS00733400 New Jersey
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1992117451
LBN Legal business name Modern Rx Limited Liability Company
DBA Doing business as Modern Medicine Rx
Authorized official Reizis, Klara
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2014
Last updated Apr 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992117451 NPPES
Other 2146077 PK
MEDICAID 0436755 PK

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