Organization
SRVN PHARMACY INC
Active
Other names
BROCKMANS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RATHNA VEERAMACHANANI (PIC)
(201) 437-2175
Entity
Organization
Contact information
Practice address
78 AVENUE C, BAYONNE, NJ 07002-2439
(201) 437-2175
(201) 437-4449
Mailing address
78 AVENUE C, BAYONNE, NJ 07002-2439
(201) 437-2175
(201) 437-4449
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RI02587000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070505
—
NJ
Enumeration date
07/18/2006
Last updated
03/15/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us