Plymouth Park Pharmacy Inc

LBN: Plymouth Park Pharmacy Inc
Plymouth Park Pharmacy Inc is an health care organization with primary practice located at 11 12 Saddle River Rd , Fair Lawn NJ 07410-5786. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Plymouth Park Pharmacy Inc can be contacted via phone (201) 797-0006, or through Piskadlo, Bryan Scott via phone (201) 797-0006.

Contact Information

Primary practice address
11 12 Saddle River Rd Fair Lawn NJ 07410-5786
Phone: (201) 797-0006
Fax: (201) 797-0007
Website:
Map and Directions
Authorized official contact:
Name: Piskadlo, Bryan Scott
Phone: (201) 797-0006

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS001207900 New Jersey

Profile Details

NPI number 1023053469
LBN Legal business name Plymouth Park Pharmacy Inc
DBA Doing business as
Authorized official Piskadlo, Bryan Scott
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Oct 13th, 2019 - about 7 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 1023053469 NPPES
New Jersey MEDICAID 0698628
New Jersey Other 2055710

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