Jerusalem Pharmacy

LBN: Jerusalem Pharmacy
Jerusalem Pharmacy is an health care organization with primary practice located at 1414 Main Ave , Clifton NJ 07011-2157. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Jerusalem Pharmacy can be contacted via phone (973) 340-6200, or through Rasheed, Younis via phone (210) 410-0002.

Contact Information

Primary practice address
1414 Main Ave Clifton NJ 07011-2157
Phone: (973) 340-6200
Fax: (973) 340-6204
Website:
Map and Directions
Authorized official contact:
Name: Rasheed, Younis R.PH.
Phone: (210) 410-0002

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00670700 New Jersey

Profile Details

NPI number 1467652057
LBN Legal business name Jerusalem Pharmacy
DBA Doing business as
Authorized official Rasheed, Younis R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2007
Last updated Jul 31st, 2008 - about 18 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 1467652057 NPPES
New Jersey MEDICAID 0156647

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