Organization
I A CORP
Active
Other names
THE FORER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
IRA ATLAS (OWNER)
(609) 921-7287
Entity
Organization
Contact information
Practice address
160 WITHERSPOON ST, PRINCETON, NJ 08542-3223
(609) 921-7287
(609) 497-3912
Mailing address
160 WITHERSPOON ST, PRINCETON, NJ 08542-3223
(609) 921-7287
(609) 497-3912
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00343900
NJ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3114458
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
4349008
—
NJ
Enumeration date
11/13/2006
Last updated
10/28/2010
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