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NPI Code Detail

MEDICARE: CITYWIDE RX LLC

MEDICARE: CITYWIDE RX 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 Pharmacy0228665500OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22176772OTHERPK

General Provider Information

NPI Number : 1881190692
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITYWIDE RX LLC
Provider Business Mailing Address
First Line : 2 BERGEN TPKE
Second Line :
City : RIDGEFIELD PARK
State : NJ
Zip : 07660-2390
Country : US
Telephone Number : 908-241-6337
Fax Number : 908-634-4038
Provider Business Practice Location Address
First Line : 2787 CHARTER ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-4607
Country : US
Telephone Number : 614-407-8000
Fax Number : 614-407-8001
Authorized Official
Title or Position : VICE PRESIDENT
Name : JOEL ZUPNICK
Credential :
Telephone Number : 908-241-6337
Provider Enumeration Date : 04/02/2018
Last Update Date : 07/28/2021

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Directions to “CITYWIDE RX LLC ” Practice Location

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