Organization
TICETOWN PHARMACY & SURGICAL INC
Active
Other names
The Wellness Center Pharmacy & Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVINI PATEL PHARM.D. (PRESIDENT)
(732) 679-3555
Entity
Organization
Contact information
Practice address
3117 US HIGHWAY 9, OLD BRIDGE, NJ 08857-2690
(732) 679-3555
(732) 679-6797
Mailing address
3117 US HIGHWAY 9, OLD BRIDGE, NJ 08857-2690
(732) 679-3555
(732) 679-6797
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
28RS00700600
NJ
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12392
NC
3336C0004X
Compounding Pharmacy
034759
NY
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0231169
—
NJ
01
—
2121584
PK
—
Enumeration date
08/18/2009
Last updated
07/19/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us