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200 Chestnut St Llc
Community/Retail Pharmacy in Roselle Park, New Jersey
NPI 1508801713

200 Chestnut St Llc is a Community/Retail Pharmacy based in Roselle Park, NJ and is specialized in Community/Retail Pharmacy. 200 Chestnut St Llc practices in Roselle Park, NJ. The NPI Number for 200 Chestnut St Llc is 1508801713 and holds a License No. (New Jersey).

The current practice location address for 200 Chestnut St Llc is 200 Chestnut St, Roselle Park, NJ and can be reached out via phone at 908-245-1396 and via fax at 908-245-1616.

Location: 200 Chestnut St, Roselle Park, NJ, 07204-2263
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508801713
Provider Name
200 Chestnut St Llc
Credential
Provider Entity Type
Organization
Address
200 Chestnut St, Roselle Park, NJ, 07204-2263
Phone Number
908-245-1396
Fax Number
908-245-1616
Provider Enumeration Date
06/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0102831 05 NJ
2054615 01 PK
institution
Provider Business Practice Location Address Details
Address
200 Chestnut St
City
Roselle Park
State
New Jersey
Zip
07204-2263
Phone Number
908-245-1396
Fax Number
908-245-1616
person
Provider Business Mailing Address Details
Address
200 Chestnut St
City
Roselle Park
State
New Jersey
Zip
07204-2263
Phone Number
908-245-1396
Fax Number
908-245-1616
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
28RS00660900 (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 2
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.
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