Healthcare Provider Details

I. General information

NPI: 1598144743
Provider Name (Legal Business Name): PARTNERS PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2015
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 SULLIVAN WAY
WEST TRENTON NJ
08628-3425
US

IV. Provider business mailing address

100 SULLIVAN WAY
WEST TRENTON NJ
08628-3425
US

V. Phone/Fax

Practice location:
  • Phone: 609-349-7622
  • Fax:
Mailing address:
  • Phone: 609-349-7622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number28RS00741900
License Number StateNJ

VIII. Authorized Official

Name: JAMES MATTHEWS
Title or Position: COO
Credential:
Phone: 908-931-9111