Healthcare Provider Details

I. General information

NPI: 1568760114
Provider Name (Legal Business Name): DRUG STORES II LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2011
Last Update Date: 12/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 SUMMERHILL RD SUITE D
EAST BRUNSWICK NJ
08816-4929
US

IV. Provider business mailing address

162 SUMMERHILL RD SUITE D
EAST BRUNSWICK NJ
08816-4929
US

V. Phone/Fax

Practice location:
  • Phone: 609-308-2828
  • Fax: 800-307-1779
Mailing address:
  • Phone: 609-308-2832
  • Fax: 800-307-1779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00710600
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: PIUSHBHAI PATEL
Title or Position: COO
Credential: RPH
Phone: 800-307-1778