MEDICARE: BELLS HEALTHCARE ENTERPRISES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy
4	3336C0004X	Compounding Pharmacy
5	3336C0002X	Clinic Pharmacy	28RS00495300	NJ

General Provider Information

NPI Number	:	1760826234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLS HEALTHCARE ENTERPRISES INC

Provider Business Mailing Address
First Line	:	1907 ROUTE 27
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08817-3212
Country	:	US
Telephone Number	:	732-985-1211
Fax Number	:	732-985-3609

Provider Business Practice Location Address
First Line	:	1907 ROUTE 27
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08817-3212
Country	:	US
Telephone Number	:	732-985-1211
Fax Number	:	732-985-3609

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	GEORGE JUNIOR RUSULOJ
Credential	:	PHARM.D.
Telephone Number	:	732-985-1211

Provider Enumeration Date	:	04/26/2013
Last Update Date	:	11/19/2014

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