Organization
AHS HOSPITAL CORP
Active
Other names
OVERLOOK HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
GENE RADER RPH (PHCY MANG)
(902) 522-2223
Entity
Organization
Contact information
Practice address
120 DORSA AVE, LIVINGSTON, NJ 07039-1003
(973) 535-3920
(973) 535-3920
Mailing address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2223
(908) 522-0660
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
28RS00554400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3120300
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/21/2008
Last updated
02/23/2023
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