Plymouth Park Pharmacy Inc in Fair Lawn - Community/retail Pharmacy

Plymouth Park Pharmacy Inc - NPI 1023053469

Plymouth Park Pharmacy Inc is a Community/retail Pharmacy in Fair Lawn, New Jersey. Plymouth Park Pharmacy Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Plymouth Park Pharmacy Inc is 1023053469. The last update date is 2019-10-13.

Plymouth Park Pharmacy Inc's current location address is 11 12 Saddle River Rd, Fair Lawn, New Jersey. You can contact this provider via phone number 2017970006 and fax number 2017970007. The mailing address for Plymouth Park Pharmacy Inc is 11 12 Saddle River Rd, Fair Lawn, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Plymouth Park Pharmacy Inc
Address 11 12 Saddle River Rd, Fair Lawn, New Jersey
Phone Number 2017970006
Fax Number 2017970007
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Piskadlo Scott Bryan
Telephone Number 2017970006

NPI Number Detail

NPI Number 1023053469
Provider Enumeration Date 2006-06-19
Last Updated Date 2019-10-13

Provider Mailing Address Detail

Address 11 12 Saddle River Rd
City Fair Lawn
State New Jersey (NJ)
Post Code 74105786
Phone Number 2017970006
Fax Number 2017970007

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 28RS00120790
Definition:
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
698628 NJ --
2055710 PK

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FAQs about Plymouth Park Pharmacy Inc

What is the unique provider identifier assigned to Plymouth Park Pharmacy Inc?

The Plymouth Park Pharmacy Inc has been issued the NPI (National Provider Identifier) 1023053469 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Plymouth Park Pharmacy Inc is located?

The Plymouth Park Pharmacy Inc is situated at the following address: 11 12 Saddle River Rd, Fair Lawn, NJ, 74105786.

What is the Plymouth Park Pharmacy Inc's area of specialization and corresponding taxonomy classification?

The Plymouth Park Pharmacy Inc's specialty field is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their specialties.

On what date did the Plymouth Park Pharmacy Inc receive its 1023053469 assignment from the Centers for Medicare & Medicaid Services?

The Plymouth Park Pharmacy Inc was assigned its 1023053469 by the Centers for Medicare & Medicaid Services on 2006-06-19.

As of what date were the Plymouth Park Pharmacy Inc's details last updated?

The information pertaining to the Plymouth Park Pharmacy Inc, including its address, specialty, and other details, was most recently updated on 2019-10-13.

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