Allstar Pharmacy

LBN: Maciag And Tawadros
Allstar Pharmacy is an health care organization with primary practice located at 105 Terhune Ave , Lodi NJ 07644-2805. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Maciag And Tawadros can be contacted via phone (973) 473-2243, or through Maciag, Ryszard via phone (201) 320-7272.

Contact Information

Primary practice address
105 Terhune Ave Lodi NJ 07644-2805
Phone: (973) 473-2243
Fax: (973) 473-8387
Website:
Map and Directions
Authorized official contact:
Name: Maciag, Ryszard
Phone: (201) 320-7272

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00355700 New Jersey
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1730290974
LBN Legal business name Maciag And Tawadros
DBA Doing business as Allstar Pharmacy
Authorized official Maciag, Ryszard
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730290974 NPPES
Other 2135455 PK
MEDICAID 0311138 PK

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