Active NPIOrganization

108 Lacey Road LLC

Pharmacy, Community/Retail Pharmacy in Whiting, New Jersey

NPI Number1831328426
Practice location
108 Lacey RD, Whiting, NJ 08759-1337
Fax
732-350-7552
Last updated
February 24, 2010

108 Lacey Road LLC is a healthcare organization based in Whiting, NJ. 108 Lacey Road LLC practices in Whiting, NJ. The NPI Number for 108 Lacey Road LLC is 1831328426 and holds a License No. 28RS00700300 (NJ). The current practice location address for 108 Lacey Road LLC is 108 Lacey RD, Whiting, NJ 08759-1337 and can be reached out via phone at 732-350-7550 and via fax at 732-350-7552.

Provider Profile Details

NPI Number
1831328426
Provider Name
108 Lacey Road LLC
Provider Entity Type
Organization
Address
108 Lacey RD, Whiting, NJ 08759-1337
Phone Number
732-350-7550
Fax Number
732-350-7552
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Sanjay Shah · Owner · 732-350-7550
Other Names
Foodtown Pharmacy (Doing Business As)
Provider Enumeration Date
July 6, 2009
Last Update Date
February 24, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
108 Lacey RD
Whiting, NJ 08759-1337
Zip
08759-1337
Phone Number
732-350-7550
Fax Number
732-350-7552
Whiting, NJ 08759Get directions →

Provider Business Mailing Address Details

Address
108 Lacey RD
Whiting, NJ 08759-1337
City
Whiting
State
NJ
Zip
08759-1337
Phone Number
732-350-7550
Fax Number
732-350-7552

License Information

Taxonomy (1)
Pharmacy · 333600000X
License Number (2)
28RS00700300
License State (2)
NJ
Taxonomy (2)
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 108 Lacey Road LLC?

The NPI number of 108 Lacey Road LLC is 1831328426. It was assigned on July 6, 2009 and is currently active in the NPPES registry.

What is the specialty of 108 Lacey Road LLC?

108 Lacey Road LLC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in NJ under license number 28RS00700300.

Where does 108 Lacey Road LLC practice?

The practice location is 108 Lacey RD, Whiting, NJ 08759-1337. The office can be reached at 732-350-7550 (phone) or 732-350-7552 (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 1831328426 directly on the NPPES registry website.

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