Healthcare Provider Details

I. General information

NPI: 1689689291
Provider Name (Legal Business Name): MORTON BARNETT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 02/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 N UNION ST
LAMBERTVILLE NJ
08530-2108
US

IV. Provider business mailing address

9 N UNION ST
LAMBERTVILLE NJ
08530-2108
US

V. Phone/Fax

Practice location:
  • Phone: 609-397-1351
  • Fax: 609-397-8604
Mailing address:
  • Phone: 609-397-1351
  • Fax: 609-397-8604

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 Number28RS00301000
License Number StateNJ

VIII. Authorized Official

Name: MORTON BARNETT
Title or Position: PRESIDENT
Credential:
Phone: 609-397-1351