Clinton Pharmacy & Healthcare Center
LBN: Tesh
Clinton Pharmacy & Healthcare Center is an health care organization with primary practice located at 784 Clinton Ave , Newark NJ 07108-1045. 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.
Tesh can be contacted via phone (973) 375-6003, or through Solaman, Mohamed Ehab via phone (973) 375-6003.
Contact Information
Primary practice address
784 Clinton Ave
Newark NJ 07108-1045
Phone: (973) 375-6003
Fax: (973) 375-4861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | RS006810 | New Jersey |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | RS006810 | New Jersey |
Profile Details
| NPI number | 1629116033 |
|---|---|
| LBN Legal business name | Tesh |
| DBA Doing business as | Clinton Pharmacy & Healthcare Center |
| Authorized official | Solaman, Mohamed Ehab PHARMD, RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Feb 25th, 2016 - about 9 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 | 1629116033 | NPPES |
| New Jersey | MEDICAID | 0189219 |
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