Healthcare Provider Details

I. General information

NPI: 1437297322
Provider Name (Legal Business Name): LONG VALLEY DRUGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 12/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 E MILL RD STE B2
LONG VALLEY NJ
07853-3118
US

IV. Provider business mailing address

62 E MILL RD STE B2
LONG VALLEY NJ
07853-3118
US

V. Phone/Fax

Practice location:
  • Phone: 908-876-9000
  • Fax: 908-876-5578
Mailing address:
  • Phone: 908-876-9000
  • Fax: 908-876-5578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RS00685800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number28RS00685800
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code1835N1003X
TaxonomyNutrition Support Pharmacist
License Number28RS00685800
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number28RS00685800
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number28RS00685800
License Number StateNJ
# 6
Primary TaxonomyN
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number28RS00685800
License Number StateNJ
# 7
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number28RS00685800
License Number StateNJ
# 8
Primary TaxonomyN
Taxonomy Code1835N0905X
TaxonomyNuclear Pharmacist
License Number28RS00685800
License Number StateNJ
# 9
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. BRIJENDERA SINGH
Title or Position: PHARMACIST OWNER
Credential: RPH
Phone: 908-876-9000