Organization
METRO PHARMACY II LLC
Active
Other names
Metro Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAJESH PIPALIA (OWNER)
(201) 679-0918
Entity
Organization
Contact information
Practice address
727 FRELINGHUYSEN AVE, NEWARK, NJ 07114-1348
(973) 424-0045
(973) 547-3306
Mailing address
727 FRELINGHUYSEN AVE, NEWARK, NJ 07114-1348
(973) 424-0045
(973) 547-3306
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00683400
NJ
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
28RS00683400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790199750
NPI
NJ
01
—
3148649
NCPDP
NJ
01
—
3195345
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
7214350001
MEDICARE NSC
NJ
Enumeration date
05/02/2008
Last updated
02/12/2015
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