Stafford Pharmacy

LBN: Stafford Pharmacy Inc
Stafford Pharmacy is an health care organization with primary practice located at 24 Nautilus Dr Unit 1, Manahawkin NJ 08050-2490. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Stafford Pharmacy Inc can be contacted via phone (609) 597-9625, or through Genco, Thomas via phone (609) 597-9625.

Contact Information

Primary practice address
24 Nautilus Dr Unit 1 Manahawkin NJ 08050-2490
Fax: (609) 597-0047
Website:
Authorized official contact:
Name: Genco, Thomas RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00482100 New Jersey

Profile Details

NPI number 1306943238
LBN Legal business name Stafford Pharmacy Inc
DBA Doing business as Stafford Pharmacy
Authorized official Genco, Thomas RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 7th, 2017 - about 7 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 1306943238 NPPES
New Jersey MEDICAID 4346807
New Jersey Other 2057891

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