Organization
TRIAD THERAPEUTICS INC
Active
Other names
TRIAD THERAPEUTICS INC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HENNING RPH (CEO)
(973) 244-0044
Entity
Organization
Contact information
Practice address
333A ROUTE 46 W, STE 130, FAIRFIELD, NJ 07004-2415
(973) 244-0044
(973) 244-0202
Mailing address
333A ROUTE 46 W, STE 130, FAIRFIELD, NJ 07004-2415
(973) 244-0044
(973) 244-0202
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
28RS00671000
NJ
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139076
—
NJ
05
—
01570235
—
NJ
01
—
3194521
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/14/2007
Last updated
12/07/2010
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