Organization
NBN INFUSIONS INC
Active
Other names
NBN INFUSIONS
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BOETTCHER RPH (COO)
(856) 669-0217
Entity
Organization
Contact information
Practice address
2 PIN OAK LN, UNIT 250, CHERRY HILL, NJ 08003-1632
(856) 669-0217
(856) 520-8067
Mailing address
2 PIN OAK LN, UNIT 250, CHERRY HILL, NJ 08003-1632
(856) 669-0217
(856) 520-8067
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
Primary
28RS00454200
NJ
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000556916
—
DE
05
—
001241395004
—
PA
01
—
2055764
PK
—
05
—
3447600
—
NJ
05
—
4533402
—
NJ
Enumeration date
05/23/2005
Last updated
02/27/2017
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