<Unavail>

LBN: Probene Q, Llc
<Unavail> is an health care organization with primary practice located at 105 Challenger Rd Ste 401 , Ridgefield Park NJ 07660-2101. 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. Probene Q, Llc can be contacted via phone (201) 225-0057, or through Shon, Won Kyu via phone (201) 916-4899.

Contact Information

Primary practice address
105 Challenger Rd Ste 401 Ridgefield Park NJ 07660-2101
Phone: (201) 225-0057
Fax: (201) 225-0067
Website:
Map and Directions
Authorized official contact:
Name: Shon, Won Kyu
Phone: (201) 916-4899

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00755300 New Jersey

Profile Details

NPI number 1538692462
LBN Legal business name Probene Q, Llc
DBA Doing business as <Unavail>
Authorized official Shon, Won Kyu
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2017
Last updated Jun 23rd, 2022 - about 4 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 1538692462 NPPES
New Jersey MEDICAID 0573035
New Jersey Other 2168729

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