Organization
STATION PHARMACY LLC
Active
Other names
Bound Brook Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DIAZ R.PH. (PHARMACIST IN CHARGE)
(732) 369-6081
Entity
Organization
Contact information
Practice address
303 E MAIN ST, BOUND BROOK, NJ 08805-2096
(732) 369-6081
(732) 667-5350
Mailing address
303 E MAIN ST, BOUND BROOK, NJ 08805-2096
(732) 369-6081
(732) 667-5350
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00703500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3197159
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/03/2010
Last updated
08/05/2010
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