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General NPI Number Information
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NPI Number | 1790917037
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Entity Type | Organization
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Legal Business Name | TRIMAX MEDICAL SERVICES INC
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 03/09/2015
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Provider Practice Location Address
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Address Line | 1299 MCCARTER HWY
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City | NEWARK
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State | NJ
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Zip | 07104-3757
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Country | US
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Telephone | 973-485-8522
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Fax | 973-485-8570
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Provider Business Mailing Address
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Address Line | 1299 MCCARTER HWY
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City | NEWARK
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State | NJ
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Zip | 07104-3757
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Country | US
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Telephone | 973-485-8522
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Fax |
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Authorized Official
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Title or Position | CHIEF PHARMACIST
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Name | RAMEZ MAXEMOUS
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Credential | PHARM-D
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Telephone | 201-832-9798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28RS00694500
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License Number State | NJ
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