Active NPIOrganization

Mystic Pharmacy INC

Pharmacy in Little Egg Harbor, New Jersey

NPI Number1083752216
Practice location
972 Radio RD, Little Egg Harbor, NJ 08087
Fax
609-296-6250
Last updated
August 22, 2020

Mystic Pharmacy INC is a healthcare organization based in Little Egg Harbor, NJ. Mystic Pharmacy INC practices in Little Egg Harbor, NJ. The NPI Number for Mystic Pharmacy INC is 1083752216 and holds a License No. 28RS00391800 (NJ). The current practice location address for Mystic Pharmacy INC is 972 Radio RD, Little Egg Harbor, NJ 08087 and can be reached out via phone at 609-296-0934 and via fax at 609-296-6250.

Provider Profile Details

NPI Number
1083752216
Provider Name
Mystic Pharmacy INC
Provider Entity Type
Organization
Address
972 Radio RD, Little Egg Harbor, NJ 08087
Phone Number
609-296-0934
Fax Number
609-296-6250
Primary Taxonomy
Pharmacy · 333600000X
Organization Subpart
No
Authorized Official
Mr. John Michael Ward, RP · Pharmacist In Charge · 609-296-0934
Provider Enumeration Date
February 1, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
972 Radio RD
Little Egg Harbor, NJ 08087
Zip
08087
Phone Number
609-296-0934
Fax Number
609-296-6250
Little Egg Harbor, NJ 08087Get directions →

Provider Business Mailing Address Details

Address
972 Radio RD
Little Egg Harbor, NJ 08087
City
Little Egg Harbor
State
NJ
Zip
08087
Phone Number
609-296-0934
Fax Number
609-296-6250

License Information

License Number
28RS00391800
License State
NJ
Taxonomy
Pharmacy · 333600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mystic Pharmacy INC?

The NPI number of Mystic Pharmacy INC is 1083752216. It was assigned on February 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Mystic Pharmacy INC?

Mystic Pharmacy INC is registered under the primary taxonomy Pharmacy (code 333600000X), licensed in NJ under license number 28RS00391800.

Where does Mystic Pharmacy INC practice?

The practice location is 972 Radio RD, Little Egg Harbor, NJ 08087. The office can be reached at 609-296-0934 (phone) or 609-296-6250 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083752216 directly on the NPPES registry website.

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