Active NPIOrganization

Managua INC

Pharmacy, Community/Retail Pharmacy in Lindenwold, New Jersey

NPI Number1730293812
Practice location
581 Blackwood Clementon RD, Lindenwold, NJ 08021-5901
Fax
856-627-2244
Last updated
July 23, 2009

Managua INC is a healthcare organization based in Lindenwold, NJ. Managua INC practices in Lindenwold, NJ. The NPI Number for Managua INC is 1730293812 and holds a License No. 28RS00688300 (NJ). The current practice location address for Managua INC is 581 Blackwood Clementon RD, Lindenwold, NJ 08021-5901 and can be reached out via phone at 856-627-0004 and via fax at 856-627-2244.

Provider Profile Details

NPI Number
1730293812
Provider Name
Managua INC
Provider Entity Type
Organization
Address
581 Blackwood Clementon RD, Lindenwold, NJ 08021-5901
Phone Number
856-627-0004
Fax Number
856-627-2244
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Mohit Patel · Front Store Manager · 856-627-0004
Other Names
Family Pharmacy (Doing Business As)
Provider Enumeration Date
August 18, 2006
Last Update Date
July 23, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
581 Blackwood Clementon RD
Lindenwold, NJ 08021-5901
Zip
08021-5901
Phone Number
856-627-0004
Fax Number
856-627-2244
Lindenwold, NJ 08021Get directions →

Provider Business Mailing Address Details

Address
581 Blackwood Clementon RD
Lindenwold, NJ 08021-5901
City
Lindenwold
State
NJ
Zip
08021-5901
Phone Number
856-627-0004

License Information

License Number
28RS00688300
License State
NJ
Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X · 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 Managua INC?

The NPI number of Managua INC is 1730293812. It was assigned on August 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Managua INC?

Managua INC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in NJ under license number 28RS00688300.

Where does Managua INC practice?

The practice location is 581 Blackwood Clementon RD, Lindenwold, NJ 08021-5901. The office can be reached at 856-627-0004 (phone) or 856-627-2244 (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 1730293812 directly on the NPPES registry website.

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