Organization
DRUGFAIR OF ROCKAWAY
Active
Other names
DRUG FAIR OF ROCKAWAY
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY LABEAU (VP PHCY OPER)
(732) 748-8900
Entity
Organization
Contact information
Practice address
295 ROUTE 46 ROCKAWAY PLAZA, ROCKAWAY, NJ 07866
(973) 625-8111
(973) 625-1441
Mailing address
295 ROUTE 46 ROCKAWAY PLAZA, ROCKAWAY, NJ 07866
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00672400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3194987
OTHER ID NUMBER
—
Enumeration date
03/12/2008
Last updated
04/09/2008
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