Provider Demographics
NPI:1023195120
Name:TOWNSHIP PHARMACY A LLC
Entity Type:Organization
Organization Name:TOWNSHIP PHARMACY A LLC
Other - Org Name:TOWNSHIP PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BOBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CACERES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-545-8800
Mailing Address - Street 1:695 HAMILTON ST # A
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-3274
Mailing Address - Country:US
Mailing Address - Phone:732-545-8800
Mailing Address - Fax:732-828-6771
Practice Address - Street 1:695 HAMILTON ST # A
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-3274
Practice Address - Country:US
Practice Address - Phone:732-545-8800
Practice Address - Fax:732-828-6771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
NJ28RS007005003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2123632OtherPK
NJ0648337Medicaid
NJ0280836Medicaid