Pavonia Pharmacy

LBN: Shree Kotyark Inc
Pavonia Pharmacy is an health care organization with primary practice located at 600 Pavonia Ave , Jersey City NJ 07306-2929. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Shree Kotyark Inc can be contacted via phone (201) 216-9666, or through Shah, Atul M via phone (201) 216-9666.

Contact Information

Primary practice address
600 Pavonia Ave Jersey City NJ 07306-2929
Phone: (201) 216-9666
Fax: (201) 216-9283
Website:
Map and Directions
Authorized official contact:
Name: Shah, Atul M MS RPH
Phone: (201) 216-9666

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1275669103
LBN Legal business name Shree Kotyark Inc
DBA Doing business as Pavonia Pharmacy
Authorized official Shah, Atul M MS RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Mar 17th, 2011 - about 13 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 1275669103 NPPES
New Jersey MEDICAID 6479201

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