Organization
COMMUNITY DISTRIBUTORS, INC.
Active
Other names
Drug Fair of Lincoln Park
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRIE LEVINE R.PH. (V.P. PHARMACY)
(732) 748-8900
Entity
Organization
Contact information
Practice address
261 COMLY RD, LINCOLN PARK, NJ 07035-1759
(973) 694-8242
(973) 694-3804
Mailing address
800 COTTONTAIL LN, SOMERSET, NJ 08873-1227
(732) 748-8900
(732) 868-4172
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
5703
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7914202
—
NJ
05
—
7914211
—
NJ
Enumeration date
12/07/2005
Last updated
11/23/2007
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