South Orange Pharmacy
LBN: South Orange Pharmacy Llc
South Orange Pharmacy is an health care organization with primary practice located at 73 S Orange Ave , South Orange NJ 07079-1715. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
South Orange Pharmacy Llc can be contacted via phone (973) 821-5414, or through Otto, Christopher via phone (973) 821-5414.
Contact Information
Primary practice address
73 S Orange Ave
South Orange NJ 07079-1715
Phone: (973) 821-5414
Fax: (973) 275-5220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 28RS00687000 | New Jersey |
Profile Details
| NPI number | 1861643561 |
|---|---|
| LBN Legal business name | South Orange Pharmacy Llc |
| DBA Doing business as | South Orange Pharmacy |
| Authorized official | Otto, Christopher |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 1st, 2008 |
| Last updated | Dec 20th, 2016 - about 8 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 | 1861643561 | NPPES |
| Other | 2117729 | PK | |
| MEDICAID | 0193381 | PK | |
| MEDICAID | 6227070001 | PK |
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