<Unavail>
LBN: Willow Ave Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 212 Palisade Ave , Jersey City NJ 07306-1116. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Willow Ave Pharmacy Llc can be contacted via phone (201) 418-2830, or through Shah, Snehal via phone (732) 763-1961.
Contact Information
Primary practice address
212 Palisade Ave
Jersey City NJ 07306-1116
Phone: (201) 418-2830
Fax: (201) 418-2834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 28RS00730400 | New Jersey |
Profile Details
| NPI number | 1881015717 |
|---|---|
| LBN Legal business name | Willow Ave Pharmacy Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Shah, Snehal |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 19th, 2013 |
| Last updated | Jul 25th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881015717 | NPPES |
| New Jersey | MEDICAID | 0673145 | |
| New Jersey | Other | 2143572 |
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