Organization
BP AND JJ LLC
Active
Other names
PINE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH AN (OWNER)
(201) 927-4410
Entity
Organization
Contact information
Practice address
7 BROAD AVE, STE 104, PALISADES PARK, NJ 07650-1403
(201) 941-7463
(201) 941-7465
Mailing address
7 BROAD AVE, STE 104, PALISADES PARK, NJ 07650-1403
(201) 941-7463
(201) 941-7465
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RS00677900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169285
—
NJ
01
—
3194901
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/01/2008
Last updated
09/22/2009
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