Prospect Pharmacy Llc

LBN: Prospect Pharmacy Llc
Prospect Pharmacy Llc is an health care organization with primary practice located at 214 Haledon Ave , Prospect Park NJ 07508-2024. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Prospect Pharmacy Llc can be contacted via phone (973) 389-1311, or through Obeidallah, Naser M. via phone (973) 389-1311.

Contact Information

Primary practice address
214 Haledon Ave Prospect Park NJ 07508-2024
Phone: (973) 389-1311
Fax: (973) 389-2315
Website:
Map and Directions
Authorized official contact:
Name: Obeidallah, Naser M. RPH
Phone: (973) 389-1311

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00616500 New Jersey

Profile Details

NPI number 1750391173
LBN Legal business name Prospect Pharmacy Llc
DBA Doing business as
Authorized official Obeidallah, Naser M. RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Feb 14th, 2008 - about 16 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 1750391173 NPPES
New Jersey Other 3144792 NABP#
New Jersey MEDICAID 8956405 NABP#

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