Healthcare Provider Details

I. General information

NPI: 1598179376
Provider Name (Legal Business Name): ARC CORE PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2014
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

198 MARKET ST
NEWARK NJ
07102-3708
US

IV. Provider business mailing address

198 MARKET STREET
NEWARK NJ
07102
US

V. Phone/Fax

Practice location:
  • Phone: 973-639-1900
  • Fax: 973-639-1901
Mailing address:
  • Phone: 973-639-1900
  • Fax: 973-639-1901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00702800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number28RS00702800
License Number State

VIII. Authorized Official

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