Brick Church Pharmacy
LBN: Senelorm Llc
Brick Church Pharmacy is an health care organization with primary practice located at 520 Main St , East Orange NJ 07018-2217. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Senelorm Llc can be contacted via phone (973) 395-2713, or through Senelorm, Kenneth via phone (646) 228-2311.
Contact Information
Primary practice address
520 Main St
East Orange NJ 07018-2217
Phone: (973) 395-2713
Fax: (973) 395-2715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1376069492 |
|---|---|
| LBN Legal business name | Senelorm Llc |
| DBA Doing business as | Brick Church Pharmacy |
| Authorized official | Senelorm, Kenneth PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 21st, 2017 |
| Last updated | Apr 7th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376069492 | NPPES |
| New Jersey | MEDICAID | 0668982 |
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