# PRINCETON HEALTHCARE SYSTEM A NEW JERSEY NON-PROFIT CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Penn Medicine Princeton Health outpatient pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629144720
- **Authorized official:** JAMES DEMETRIADES RPH (VICE PRESIDENT)
- **Authorized official phone:** (609) 853-6113

## Contact information

- **Practice address:** 1 PLAINSBORO RD, PLAINSBORO, NJ 08536-1913
- **Practice address phone:** (609) 853-6130
- **Practice address fax:** (609) 853-6128
- **Mailing address:** 1 PLAINSBORO RD, PLAINSBORO, NJ 08536-1913
- **Mailing address phone:** (609) 853-6130
- **Mailing address fax:** (609) 853-6128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00426800 | NJ | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 07/19/2018