Bergen Pharmacy Clinton Ave

LBN: Vakratunda Inc
Bergen Pharmacy Clinton Ave is an health care organization with primary practice located at 194 Clinton Ave , Newark NJ 07108-2809. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Vakratunda Inc can be contacted via phone (973) 273-1100, or through Nagrecha, Rasik via phone (973) 273-1100.

Contact Information

Primary practice address
194 Clinton Ave Newark NJ 07108-2809
Phone: (973) 273-1100
Fax: (973) 273-1288
Website:
Map and Directions
Authorized official contact:
Name: Nagrecha, Rasik
Phone: (973) 273-1100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X RS00639700 New Jersey
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1780784967
LBN Legal business name Vakratunda Inc
DBA Doing business as Bergen Pharmacy Clinton Ave
Authorized official Nagrecha, Rasik
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 25th, 2008 - about 17 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 1780784967 NPPES
Other 3146239 OTHER ID NUMBER
MEDICAID 0039021 OTHER ID NUMBER
MEDICAID 0039039 OTHER ID NUMBER

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