<Unavail>

LBN: Fitwel Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 1000 Route 70 Suite 7, Lakewood NJ 08701-5961. 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. Fitwel Pharmacy Llc can be contacted via phone (732) 367-5222, or through Vajinepalli, Sridevi via phone (732) 367-5222.

Contact Information

Primary practice address
1000 Route 70 Suite 7 Lakewood NJ 08701-5961
Phone: (732) 367-5222
Fax: (732) 367-3393
Website:
Map and Directions
Authorized official contact:
Name: Vajinepalli, Sridevi
Phone: (732) 367-5222

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00647200 New Jersey

Profile Details

NPI number 1033296900
LBN Legal business name Fitwel Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Vajinepalli, Sridevi
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 19th, 2018 - about 8 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 1033296900 NPPES
Other 2167441 PK
MEDICAID 0577251 PK

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