Healthcare Provider Details

I. General information

NPI: 1982870614
Provider Name (Legal Business Name): METRO PHARMACY II LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2008
Last Update Date: 02/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 FRELINGHUYSEN AVE
NEWARK NJ
07114-1348
US

IV. Provider business mailing address

727 FRELINGHUYSEN AVE
NEWARK NJ
07114-1348
US

V. Phone/Fax

Practice location:
  • Phone: 973-424-0045
  • Fax: 973-547-3306
Mailing address:
  • Phone: 973-424-0045
  • Fax: 973-547-3306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00683400
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number28RS00683400
License Number StateNJ

VIII. Authorized Official

Name: RAJESH PIPALIA
Title or Position: OWNER
Credential:
Phone: 201-679-0918