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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780784967 | NPPES |
| Other | 3146239 | OTHER ID NUMBER | |
| MEDICAID | 0039021 | OTHER ID NUMBER | |
| MEDICAID | 0039039 | OTHER ID NUMBER |
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