Healthcare Provider Details

I. General information

NPI: 1255499372
Provider Name (Legal Business Name): ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 04/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 HAMITON HEALTH PLACE
HAMITON NJ
08690
US

IV. Provider business mailing address

5 HAMITON HEALTH PLACE
HAMITON NJ
08690
US

V. Phone/Fax

Practice location:
  • Phone: 609-584-2614
  • Fax: 609-584-2615
Mailing address:
  • Phone: 609-584-2614
  • Fax: 609-584-2615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberRS00666200
License Number StateNJ

VIII. Authorized Official

Name: FRANCIS ST JOHN
Title or Position: PIC
Credential: RPH
Phone: 609-584-2614