Organization
EASY PHARMACY AT SBB LLC
Active
Other names
EASY PHARMACY & SURGICALS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRAN A PARVATRAO R.PH. (PRES & CEO)
(732) 667-7007
Entity
Organization
Contact information
Practice address
34 MAIN ST, SOUTH BOUND BROOK, NJ 08880-1466
(732) 667-7007
(732) 667-7017
Mailing address
34 MAIN ST, SOUTH BOUND BROOK, NJ 08880-1466
(732) 667-7007
(732) 667-7017
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
TBD
NJ
333600000X
Pharmacy
TBD
NJ
3336C0003X
Community/Retail Pharmacy
Primary
TBD
NJ
3336C0004X
Compounding Pharmacy
TBD
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217395
—
NJ
Enumeration date
03/24/2009
Last updated
04/03/2014
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