Organization
PLANET HEALTH PHARMACY CORP
Active
Other names
PRESTON DRUGS & SURGICALS
Organization subpart
No
Provider details
NPI number
Authorized official
MAULIK SHAH (PHARMACIST IN-CHARGE)
(973) 334-3460
Entity
Organization
Contact information
Practice address
127 HAWKINS PL, BOONTON, NJ 07005-1127
(973) 334-3460
(973) 334-2019
Mailing address
127 HAWKINS PL, BOONTON, NJ 07005-1127
(973) 334-3460
(973) 334-2019
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00391000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3198175
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/21/2011
Last updated
01/18/2024
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