Organization
CENTURY URBAN PHCY INC
Active
Other names
CENTURY SPECIALTY SCRIPT
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CAPPA (PRES)
(201) 833-2345
Entity
Organization
Contact information
Practice address
121 CEDAR LN, STE 101, TEANECK, NJ 07666-4457
(201) 833-2345
(201) 833-2399
Mailing address
121 CEDAR LN, STE 101, TEANECK, NJ 07666-4457
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
28RS00599200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3134676
OTHER ID NUMBER
—
05
—
4262000
—
NJ
Enumeration date
09/20/2006
Last updated
05/22/2008
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