Healthcare Provider Details

I. General information

NPI: 1760722912
Provider Name (Legal Business Name): DRUG STORES II LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2013
Last Update Date: 02/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 EASTPARK BLVD
CRANBURY NJ
08512-3523
US

IV. Provider business mailing address

PO BOX 441
ORADELL NJ
07649-0441
US

V. Phone/Fax

Practice location:
  • Phone: 201-342-1205
  • Fax: 201-342-1259
Mailing address:
  • Phone: 201-342-1205
  • Fax: 201-342-1259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: PIUSHBHAI PATEL
Title or Position: PRESIDENT
Credential:
Phone: 201-342-1205