Pennscare Family Pharmacy

LBN: Pennscarerx Pharma Inc
Pennscare Family Pharmacy is an health care organization with primary practice located at 182 N Broadway , Pennsville NJ 08070-1419. 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. Pennscarerx Pharma Inc can be contacted via phone (856) 514-2638, or through Pendyala, Yadagiri via phone (917) 972-3340.

Contact Information

Primary practice address
182 N Broadway Pennsville NJ 08070-1419
Phone: (856) 514-2638
Fax: (856) 514-2678
Website:
Map and Directions
Authorized official contact:
Name: Pendyala, Yadagiri
Phone: (917) 972-3340

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00720400 New Jersey

Profile Details

NPI number 1336403773
LBN Legal business name Pennscarerx Pharma Inc
DBA Doing business as Pennscare Family Pharmacy
Authorized official Pendyala, Yadagiri
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2012
Last updated Aug 27th, 2016 - about 8 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 1336403773 NPPES
Other 2136131 PK
MEDICAID 0383929 PK

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