Healthcare Provider Details

I. General information

NPI: 1104205574
Provider Name (Legal Business Name): PARTNERS PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2015
Last Update Date: 02/05/2024
Certification Date: 02/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 ROUTE 72
NEW LISBON NJ
08064
US

IV. Provider business mailing address

50 LAWRENCE RD
SPRINGFIELD NJ
07081-3121
US

V. Phone/Fax

Practice location:
  • Phone: 908-931-9111
  • Fax:
Mailing address:
  • Phone: 201-563-4592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JAMES MATTHEWS
Title or Position: COO
Credential:
Phone: 609-206-2664