Peter Pan Pharmacy

LBN: Peter Pan Pharmacy Inc
Peter Pan Pharmacy is an health care organization with primary practice located at 2125 Park Ave , S Plainfield NJ 07080-5401. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Peter Pan Pharmacy Inc can be contacted via phone (908) 754-7607, or through Kornas, David via phone (908) 754-7607.

Contact Information

Primary practice address
2125 Park Ave S Plainfield NJ 07080-5401
Phone: (908) 754-7607
Fax: (908) 754-9106
Website:
Map and Directions
Authorized official contact:
Name: Kornas, David
Phone: (908) 754-7607

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00323500 New Jersey

Profile Details

NPI number 1508904640
LBN Legal business name Peter Pan Pharmacy Inc
DBA Doing business as Peter Pan Pharmacy
Authorized official Kornas, David
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Aug 10th, 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 1508904640 NPPES
New Jersey MEDICAID 4253906
New Jersey Other 2056494

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