Organization
BRANCH BROOK CORP.
Active
Other names
Branch Brook Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MANOJ BAROT RPH (PRESIDENT)
(973) 412-7300
Entity
Organization
Contact information
Practice address
917 FRANKLIN AVE, NEWARK, NJ 07107-2809
(973) 412-7300
(973) 412-7303
Mailing address
917 FRANKLIN AVE, NEWARK, NJ 07107-2809
(973) 412-7300
(973) 412-7303
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
28RS00603800
NJ
333600000X
Pharmacy
Primary
28RS00603800
NJ
3336C0003X
Community/Retail Pharmacy
28RS00603800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8625701
—
NJ
Enumeration date
12/13/2005
Last updated
03/03/2014
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