Main Avenue Pharmacy Corp

LBN: Main Avenue Pharmacy Corp
Main Avenue Pharmacy Corp is an health care organization with primary practice located at 1094 Main Ave Ste A , Clifton NJ 07011-2384. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Main Avenue Pharmacy Corp can be contacted via phone (973) 928-0208, or through Lieneck, Nanci via phone (973) 928-0208.

Contact Information

Primary practice address
1094 Main Ave Ste A Clifton NJ 07011-2384
Phone: (973) 928-0208
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lieneck, Nanci
Phone: (973) 928-0208

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1255623112
LBN Legal business name Main Avenue Pharmacy Corp
DBA Doing business as
Authorized official Lieneck, Nanci
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2011
Last updated Sep 2nd, 2015 - about 11 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 1255623112 NPPES
New Jersey MEDICAID 276006

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