Madura Pharmacy

LBN: Madura Rx Llc
Madura Pharmacy is an health care organization with primary practice located at 115 N Broadway , South Amboy NJ 08879-1648. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Madura Rx Llc can be contacted via phone (732) 721-1732, or through Patel, Trupti via phone (201) 674-2748.

Contact Information

Primary practice address
115 N Broadway South Amboy NJ 08879-1648
Phone: (732) 721-1732
Fax: (732) 553-7252
Website:
Map and Directions
Authorized official contact:
Name: Patel, Trupti
Phone: (201) 674-2748

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 28RS00116700 New Jersey
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1861867038
LBN Legal business name Madura Rx Llc
DBA Doing business as Madura Pharmacy
Authorized official Patel, Trupti
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2015
Last updated Sep 23rd, 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 1861867038 NPPES
Other 2155951 PK
MEDICAID 0522058 PK

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