Organization
EAST GOSHEN PHARMACY, LLC
Active
Other names
BioScrip Infusion Services
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHAPIRO (PRESIDENT & CFO)
(800) 879-6137
Entity
Organization
Contact information
Practice address
215 SHORE RD, SOMERS POINT, NJ 08244-2631
(609) 926-6577
Mailing address
PO BOX 418711 SUITE 700, BOSTON, MA 02241-8711
(800) 879-6137
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RS00535000
PHARMACY
NJ
01
—
3152206
NCPDP
—
Enumeration date
08/03/2016
Last updated
10/02/2024
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