Healthcare Provider Details

I. General information

NPI: 1972508877
Provider Name (Legal Business Name): THRIFTWAY UNION-HILL PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 US HIGHWAY 9 EXCLUSIVE PLAZA
ENGLISHTOWN NJ
07726
US

IV. Provider business mailing address

324 US HIGHWAY 9 EXCLUSIVE PLAZA
ENGLISHTOWN NJ
07726
US

V. Phone/Fax

Practice location:
  • Phone: 732-972-2333
  • Fax: 732-972-5349
Mailing address:
  • Phone: 732-972-2333
  • Fax: 732-972-5349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number28RS00624400
License Number StateNJ

VIII. Authorized Official

Name: ALEX PERCHUK
Title or Position: CORPORATE SECRETARY
Credential: RPH
Phone: 718-835-2000