Organization
DRUG FAIR GROUP, INC.
Active
Other names
Drug Fair of Hillside
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRIE LEVINE R.PH. (V.P. PHARMACY)
(732) 748-8900
Entity
Organization
Contact information
Practice address
1303 N BROAD ST, HILLSIDE, NJ 07205-2404
(908) 436-2100
(908) 436-2108
Mailing address
800 COTTONTAIL LN, SOMERSET, NJ 08873-1227
(732) 748-8900
(732) 868-4172
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5534
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115479
—
NJ
05
—
7518901
—
NJ
Enumeration date
12/07/2005
Last updated
03/28/2008
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