Derosa Pharmacy And Home Healthcare

LBN: Shree Shakti Inc.
Derosa Pharmacy And Home Healthcare is an health care organization with primary practice located at 570 Bloomfield Ave , Newark NJ 07107-1346. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Shree Shakti Inc. can be contacted via phone (973) 482-6753, or through Shah, Purnima S. via phone (973) 482-6753.

Contact Information

Primary practice address
570 Bloomfield Ave Newark NJ 07107-1346
Phone: (973) 482-6753
Fax: (973) 482-0356
Website:
Map and Directions
Authorized official contact:
Name: Shah, Purnima S. PHD, RPH
Phone: (973) 482-6753

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1063097368
LBN Legal business name Shree Shakti Inc.
DBA Doing business as Derosa Pharmacy And Home Healthcare
Authorized official Shah, Purnima S. PHD, RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2021
Last updated Mar 18th, 2021 - about 4 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 1063097368 NPPES
New Jersey MEDICAID 4332504
New Jersey MEDICAID 0035360
New Jersey MEDICAID 3019705

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