Organization
FENNY PHARMACY LLC
Active
Other names
FENNY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BADRINATH BOGGRAM RAMAMOHAN RPH (PIC)
(201) 333-2223
Entity
Organization
Contact information
Practice address
129 NEWARK AVE, JERSEY CITY, NJ 07302-2811
(201) 333-2223
(201) 333-2224
Mailing address
129 NEWARK AVE, JERSEY CITY, NJ 07302-2811
(201) 333-2223
(201) 333-2224
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00664300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123528
—
NJ
01
—
2058645
PK
—
Enumeration date
08/23/2006
Last updated
12/01/2016
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