Healthcare Provider Details
I. General information
NPI: 1609881226
Provider Name (Legal Business Name): SZS INC MCGRATH PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2006
Last Update Date: 10/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1251 LAWRENCE RD
LAWRENCEVILLE NJ
08648-3545
US
IV. Provider business mailing address
1251 LAWRENCE RD
LAWRENCEVILLE NJ
08648-3545
US
V. Phone/Fax
- Phone: 609-882-7777
- Fax: 609-530-1475
- Phone: 609-882-7777
- Fax: 609-530-1475
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 28RS00387600 |
| License Number State | NJ |
VIII. Authorized Official
Name:
STEVEN
ZAGOREOS
Title or Position: OWNER
Credential: RPH CCP
Phone: 609-882-7777