Park Plaza Pharmacy, Inc.

LBN: Park Plaza Pharmacy, Inc.
Park Plaza Pharmacy, Inc. is an health care organization with primary practice located at 343 Highway 34 , Matawan NJ 07747-9514. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Park Plaza Pharmacy, Inc. can be contacted via phone (732) 290-9111, or through Dets, Vadym via phone (732) 290-9111.

Contact Information

Primary practice address
343 Highway 34 Matawan NJ 07747-9514
Phone: (732) 290-9111
Fax: (732) 441-3693
Website:
Map and Directions
Authorized official contact:
Name: Dets, Vadym
Phone: (732) 290-9111

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 28RS00383600 New Jersey

Profile Details

NPI number 1366446833
LBN Legal business name Park Plaza Pharmacy, Inc.
DBA Doing business as
Authorized official Dets, Vadym
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2005
Last updated Sep 24th, 2020 - about 6 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 1366446833 NPPES
New Jersey Other 28RS00383600 PHARMACY PERMIT #
New Jersey Other 3128077 PHARMACY PERMIT #
New Jersey MEDICAID 4373502 PHARMACY PERMIT #

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