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Fourth Ave Pharmacy Llc
Specialty Pharmacy in Newark, New Jersey
NPI 1225130354

Fourth Ave Pharmacy Llc is a Specialty Pharmacy based in Newark, NJ and is specialized in Specialty Pharmacy. Fourth Ave Pharmacy Llc practices in Newark, NJ. The NPI Number for Fourth Ave Pharmacy Llc is 1225130354 and holds a License No. (New Jersey).

The current practice location address for Fourth Ave Pharmacy Llc is 329 Roseville Ave, Newark, NJ and can be reached out via phone at 973-483-3872 and via fax at 973-483-6956.

Location: 329 Roseville Ave, Newark, NJ, 07107-1757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225130354
Provider Name
Fourth Ave Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
329 Roseville Ave, Newark, NJ, 07107-1757
Phone Number
973-483-3872
Fax Number
973-483-6956
Provider Enumeration Date
09/01/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2132840 01 PK
institution
Provider Business Practice Location Address Details
Address
329 Roseville Ave
City
Newark
State
New Jersey
Zip
07107-1757
Phone Number
973-483-3872
Fax Number
973-483-6956
person
Provider Business Mailing Address Details
Address
329 Roseville Ave
City
Newark
State
New Jersey
Zip
07107-1757
Phone Number
973-483-3872
Fax Number
973-483-6956
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
28RS00335200 (New Jersey)
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 prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
()
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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