Healthcare Provider Details

I. General information

NPI: 1932217080
Provider Name (Legal Business Name): MONROE PARK DRUGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 04/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

357 SPOTSWOOD ENGLISHTOWN RD
MONROE TOWNSHIP NJ
08831-8600
US

IV. Provider business mailing address

357 SPOTSWOOD ENGLISHTOWN RD
MONROE TOWNSHIP NJ
08831-8600
US

V. Phone/Fax

Practice location:
  • Phone: 732-251-3000
  • Fax: 732-251-8011
Mailing address:
  • Phone: 732-251-3000
  • Fax:

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 Number28RS00649500
License Number StateNJ

VIII. Authorized Official

Name: VATSAL PATEL
Title or Position: OWNER
Credential: RPH
Phone: 732-251-3000