Goethals Pharmacy

LBN: Elizabeth Pharmacy Inc
Goethals Pharmacy is an health care organization with primary practice located at 638 Bayway Ave , Elizabeth NJ 07202-2613. 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. Elizabeth Pharmacy Inc can be contacted via phone (908) 527-1112, or through Ajbani, Prabodh via phone (908) 527-1112.

Contact Information

Primary practice address
638 Bayway Ave Elizabeth NJ 07202-2613
Phone: (908) 527-1112
Fax: (908) 527-1155
Website:
Map and Directions
Authorized official contact:
Name: Ajbani, Prabodh
Phone: (908) 527-1112

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00718500 New Jersey

Profile Details

NPI number 1811259716
LBN Legal business name Elizabeth Pharmacy Inc
DBA Doing business as Goethals Pharmacy
Authorized official Ajbani, Prabodh
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2012
Last updated Sep 30th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811259716 NPPES
New Jersey MEDICAID 0346527
New Jersey Other 2137381

Popular Providers