Healthcare Provider Details

I. General information

NPI: 1922197615
Provider Name (Legal Business Name): PHARMACY VALUE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 02/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7012 PARK AVE
GUTTENBERG NJ
07093-4708
US

IV. Provider business mailing address

7012 PARK AVE
GUTTENBERG NJ
07093-4708
US

V. Phone/Fax

Practice location:
  • Phone: 201-662-7949
  • Fax: 201-662-9469
Mailing address:
  • Phone: 201-662-7949
  • Fax: 201-662-9469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00404500
License Number StateNJ

VIII. Authorized Official

Name: ADALBERTO AGUERO
Title or Position: VP/PHARM
Credential: RPH
Phone: 201-662-7949