# VENCER CARE PHARMACY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649682071
- **Authorized official:** PETER SHAH (AUTH MEMBER)
- **Authorized official phone:** (908) 469-2221

## Contact information

- **Practice address:** 570 N BROAD ST, SUITE-L, ELIZABETH, NJ 07208-3314
- **Practice address phone:** (908) 469-2221
- **Mailing address:** 570 N BROAD ST, SUITE-L, ELIZABETH, NJ 07208-3314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 28RS00733200 | NJ | Yes |

## Other

- **Enumeration date:** 05/20/2014
- **Last updated:** 09/15/2015