15W Pharmacy Inc

Organization Active NPI Long Term Care Pharmacy · Edison, NJ

NPI 1740285071 · NPPES record last updated Jul 13, 2007

Key facts

NPI
1740285071
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Pharmacy 3336L0003X
License
28RS00607000 (NJ)
Legal business name
15W PHARMACY INC
Practice address
95 Newfield Ave
Ste B
Edison, NJ 08837-3824
Phone
(732) 346-1333
Fax
(732) 346-9221
NPI assigned
Jun 14, 2005
Organization subpart
No

Authorized official

Name
Donna M McCann
Title
Reimbursement Director
Phone
(732) 346-1333

National Provider Directory

Locations

95 Newfield Ave
Ste B
Edison, NJ 08837
Phone (732) 346-1333

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 28RS00607000 NJ Yes

Addresses

Primary practice location

95 Newfield Ave
Ste B
Edison, NJ 08837-3824

Mailing address

95 Newfield Ave
Ste B
Edison, NJ 08837-3824
Phone (732) 346-1333

Other identifiers

IdentifierTypeStateIssuer
0019646380001MedicaidPA
02282268MedicaidNY
3144209OtherNJNCPDP
8710317MedicaidNJ
8710309MedicaidNJ

Other names

  • 15W Pharmacy Edison Doing business as

Other providers in Edison, NJ

All providers in Edison, NJ · Long Term Care Pharmacy in New Jersey

Sources for this page

Verify at the official NPI Registry.