Roselle Park Rita Pharmacy

LBN: 200 Chestnut St Llc
Roselle Park Rita Pharmacy is an health care organization with primary practice located at 200 Chestnut St , Roselle Park NJ 07204-2263. 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. 200 Chestnut St Llc can be contacted via phone (908) 245-1396, or through Shah, Sanjay via phone (908) 245-1396.

Contact Information

Primary practice address
200 Chestnut St Roselle Park NJ 07204-2263
Phone: (908) 245-1396
Fax: (908) 245-1616
Website:
Map and Directions
Authorized official contact:
Name: Shah, Sanjay RPH
Phone: (908) 245-1396

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00660900 New Jersey

Profile Details

NPI number 1508801713
LBN Legal business name 200 Chestnut St Llc
DBA Doing business as Roselle Park Rita Pharmacy
Authorized official Shah, Sanjay RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Feb 16th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508801713 NPPES
New Jersey MEDICAID 0102831
New Jersey Other 2054615

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