Rock Ridge Pharmacy

LBN: Sowadauth, Inc.
Rock Ridge Pharmacy is an health care organization with primary practice located at 191 Rock Rd , Glen Rock NJ 07452-1706. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Sowadauth, Inc. can be contacted via phone (201) 444-4190, or through Kopacki, Matthew H. via phone (201) 444-4190.

Contact Information

Primary practice address
191 Rock Rd Glen Rock NJ 07452-1706
Phone: (201) 444-4190
Fax: (201) 444-2698
Website:
Map and Directions
Authorized official contact:
Name: Kopacki, Matthew H. R.PH.
Phone: (201) 444-4190

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 4873 New Jersey

Profile Details

NPI number 1710036975
LBN Legal business name Sowadauth, Inc.
DBA Doing business as Rock Ridge Pharmacy
Authorized official Kopacki, Matthew H. R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Feb 21st, 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 1710036975 NPPES
New Jersey MEDICAID 6239609

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