Provider Demographics
NPI:1033139209
Name:LSC PHARMACY SERVICES, INC.
Entity Type:Organization
Organization Name:LSC PHARMACY SERVICES, INC.
Other - Org Name:BARNABAS HEALTH RETAIL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AVP
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:VOELKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-322-2946
Mailing Address - Street 1:94 OLD SHORT HILLS RD - EAST WING -MMC
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039
Mailing Address - Country:US
Mailing Address - Phone:973-322-2946
Mailing Address - Fax:973-322-2419
Practice Address - Street 1:300 2ND AVE
Practice Address - Street 2:
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-6303
Practice Address - Country:US
Practice Address - Phone:732-923-6111
Practice Address - Fax:732-923-6115
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIVINGSTON SERVICES CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-20
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X
NJ28RS006624003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RS00662400OtherNJBOP
NJ0123323Medicaid
NJ0123323Medicaid