# EASY PHARMACY AT SBB LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EASY PHARMACY & SURGICALS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689815508
- **Authorized official:** MR. KIRAN A PARVATRAO R.PH. (PRES & CEO)
- **Authorized official phone:** (732) 667-7007

## Contact information

- **Practice address:** 34 MAIN ST, SOUTH BOUND BROOK, NJ 08880-1466
- **Practice address phone:** (732) 667-7007
- **Practice address fax:** (732) 667-7017
- **Mailing address:** 34 MAIN ST, SOUTH BOUND BROOK, NJ 08880-1466
- **Mailing address phone:** (732) 667-7007
- **Mailing address fax:** (732) 667-7017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | TBD | NJ | — |
| 333600000X | Pharmacy | TBD | NJ | — |
| 3336C0003X | Community/Retail Pharmacy | TBD | NJ | Yes |
| 3336C0004X | Compounding Pharmacy | TBD | NJ | — |

## Other

- **Enumeration date:** 03/24/2009
- **Last updated:** 04/03/2014