Colonial Health Pharmacy

LBN: Colonial Health Pharmacy
Colonial Health Pharmacy is an health care organization with primary practice located at 125 Avon Ave , Newark NJ 07108-2531. 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. Colonial Health Pharmacy can be contacted via phone (973) 824-5010, or through Raghunadan, Latchman via phone (973) 824-5010.

Contact Information

Primary practice address
125 Avon Ave Newark NJ 07108-2531
Phone: (973) 824-5010
Fax: (973) 799-0066
Website:
Map and Directions
Authorized official contact:
Name: Raghunadan, Latchman BS
Phone: (973) 824-5010

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00571100 New Jersey

Profile Details

NPI number 1437184926
LBN Legal business name Colonial Health Pharmacy
DBA Doing business as Colonial Health Pharmacy
Authorized official Raghunadan, Latchman BS
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 19th, 2018 - 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 1437184926 NPPES
Other 2054145 PK
MEDICAID 7946007 PK

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