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NPI Code Detail

MEDICARE: SAS PHARMA INC

MEDICARE: SAS PHARMA INC
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
23336S0011XSpecialty Pharmacy
3332B00000XDurable Medical Equipment & Medical Supplies
43336C0003XCommunity/Retail Pharmacy28RS00707800NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22125957OTHERPK

General Provider Information

NPI Number : 1740265511
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAS PHARMA INC
Provider Business Mailing Address
First Line : 1108 LIBERTY AVE
Second Line :
City : HILLSIDE
State : NJ
Zip : 07205-2103
Country : US
Telephone Number : 908-354-3169
Fax Number : 908-354-4167
Provider Business Practice Location Address
First Line : 1108 LIBERTY AVE
Second Line :
City : HILLSIDE
State : NJ
Zip : 07205-2103
Country : US
Telephone Number : 908-354-3169
Fax Number : 908-354-4167
Authorized Official
Title or Position : PRESIDENT
Name : SHIL PATEL
Credential :
Telephone Number : 908-354-3169
Provider Enumeration Date : 12/14/2005
Last Update Date : 02/20/2017

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Directions to “SAS PHARMA INC ” Practice Location

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