Penn Medicine Princeton Health Outpatient Pharmacy

LBN: Princeton Healthcare System A New Jersey Non-Profit Corp
Penn Medicine Princeton Health Outpatient Pharmacy is an health care organization with primary practice located at 1 Plainsboro Rd , Plainsboro NJ 08536-1913. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Princeton Healthcare System A New Jersey Non-Profit Corp can be contacted via phone (609) 853-6130, or through Demetriades, James via phone (609) 853-6113.

Contact Information

Primary practice address
1 Plainsboro Rd Plainsboro NJ 08536-1913
Phone: (609) 853-6130
Fax: (609) 853-6128
Website:
Map and Directions
Authorized official contact:
Name: Demetriades, James RPH
Phone: (609) 853-6113

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00426800 New Jersey

Profile Details

NPI number 1629144720
LBN Legal business name Princeton Healthcare System A New Jersey Non-Profit Corp
DBA Doing business as Penn Medicine Princeton Health Outpatient Pharmacy
Authorized official Demetriades, James RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 19th, 2018 - about 7 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 1629144720 NPPES
Other 2055085 PK
MEDICAID 6471404 PK

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