Provider Demographics
NPI:1043506827
Name:TESH II LLC
Entity Type:Organization
Organization Name:TESH II LLC
Other - Org Name:NEW HORIZON PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLAIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:551-358-4841
Mailing Address - Street 1:711 BERGEN AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-4801
Mailing Address - Country:US
Mailing Address - Phone:201-324-3900
Mailing Address - Fax:201-324-3970
Practice Address - Street 1:711 BERGEN AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-4801
Practice Address - Country:US
Practice Address - Phone:201-324-3900
Practice Address - Fax:201-324-3970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS007129003336C0003X
3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2130815OtherPK
6630140001Medicare NSC
3197945OtherNCPDP PROVIDER IDENTIFICATION NUMBER