Organization
HACKENSACK MERIDIAN AMBULATORY CARE, INC.
Active
Other names
Hackensack Meridian at Home Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO S VERNACCHIA (VICE PRESIDENT)
(201) 421-1100
Entity
Organization
Contact information
Practice address
80 INDUSTRIAL RD STE G, LODI, NJ 07644
(973) 785-7350
(973) 785-7351
Mailing address
34 INDUSTRIAL WAY E STE 7A, EATONTOWN, NJ 07724-3319
(732) 897-7830
(732) 897-7831
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0756059
—
NJ
01
—
28RS00764400
NEW JERSEY BOARD OF PHARMACY
NJ
01
—
HP0278600
NEW JERSEY DIVISION OF CONSUMER AFFAIRS
NJ
Enumeration date
02/13/2018
Last updated
05/01/2024
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