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NPI Code Detail

MEDICARE: PARTNERS PHARMACY LLC

MEDICARE: PARTNERS PHARMACY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336L0003XLong Term Care Pharmacy28RS00633600NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12053979OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053423053
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARTNERS PHARMACY LLC
Provider Business Mailing Address
First Line : 50 LAWRENCE RD
Second Line :
City : SPRINGFIELD
State : NJ
Zip : 07081-3121
Country : US
Telephone Number : 908-931-9111
Fax Number : 908-931-9119
Provider Business Practice Location Address
First Line : 50 LAWRENCE RD
Second Line :
City : SPRINGFIELD
State : NJ
Zip : 07081-3121
Country : US
Telephone Number : 908-931-9111
Fax Number : 908-931-9119
Authorized Official
Title or Position : COO
Name : JAMES MATTHEWS
Credential :
Telephone Number : 609-206-2664
Provider Enumeration Date : 08/31/2006
Last Update Date : 02/05/2024

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Directions to “PARTNERS PHARMACY LLC ” Practice Location

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