Organization
CREATIVE PHARMACY SOLUTIONS EAST LLC
Active
Other names
Pharmacy Innovations
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MOON (PRESIDENT)
(716) 720-5121
Entity
Organization
Contact information
Practice address
440A RARITAN AVE, HIGHLAND PARK, NJ 08904-2740
(732) 640-0786
(732) 640-0787
Mailing address
2535 JOHNS PL, JAMESTOWN, NY 14701-9210
(716) 720-5121
(716) 708-6248
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RS00750200
NJ
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163638
PK
—
Enumeration date
07/17/2009
Last updated
03/28/2017
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