Healthcare Provider Details
I. General information
NPI: 1285473314
Provider Name (Legal Business Name): RARE SPECIALTY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2024
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
398 W GRAND AVE
RAHWAY NJ
07065-3416
US
IV. Provider business mailing address
398 W GRAND AVE
RAHWAY NJ
07065-3416
US
V. Phone/Fax
- Phone: 908-296-2420
- Fax:
- Phone: 908-296-2420
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HECTOR
A
HERRERA
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 908-296-2420