4977, Llc is a Pharmacy in Bridgeton, New Jersey. 4977, Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for 4977, Llc is 1538274311. The last update date is 2012-08-10.
4977, Llc's current location address is 1000 N Pearl St, Bridgeton, New Jersey. You can contact this provider via phone number 8564535993 and fax number 8564538631. The mailing address for 4977, Llc is 1000 N Pearl St, Bridgeton, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 4977, Llc |
|---|---|
| Address | 1000 N Pearl St, Bridgeton, New Jersey |
| Phone Number | 8564535993 |
| Fax Number | 8564538631 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | THIRD PART |
|---|---|
| Authorized Official Name | Figueroa Rivera Melissa |
| Telephone Number | 7325218439 |
NPI Number Detail
| NPI Number | 1538274311 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2012-08-10 |
Provider Mailing Address Detail
| Address | 1000 N Pearl St |
|---|---|
| City | Bridgeton |
| State | New Jersey (NJ) |
| Post Code | 83021215 |
| Phone Number | 8564535993 |
| Fax Number | 8564538631 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | RS005859 |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3142217 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 8611602 | NJ | -- |
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What is the unique 10-digit identifier code issued to 4977, Llc by the Centers for Medicare & Medicaid Services?
The 4977, Llc has been assigned the NPI (National Provider Identifier) 1538274311 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of 4977, Llc?
The 4977, Llc is physically situated at 1000 N Pearl St, in the city of Bridgeton, state of NJ, with the postal code 83021215.
What is the 4977, Llc's specialty and taxonomy code?
The 4977, Llc's specialty is Pharmacy, and the corresponding taxonomy code is 333600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1538274311 to 4977, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1538274311 to 4977, Llc on 2006-08-20.
When was the information regarding 4977, Llc most recently updated?
The details pertaining to the 4977, Llc, including its address, specialty, and other relevant information, were last refreshed on 2012-08-10.
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