Provider Demographics
NPI:1043871635
Name:BEDMINSTER SPECIALTY PHARMACY INC.
Entity Type:Organization
Organization Name:BEDMINSTER SPECIALTY PHARMACY INC.
Other - Org Name:BEDMINSTER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:HISHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MABROUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-396-7000
Mailing Address - Street 1:1560 US HIGHWAY 206
Mailing Address - Street 2:
Mailing Address - City:BEDMINSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07921-2566
Mailing Address - Country:US
Mailing Address - Phone:908-396-7000
Mailing Address - Fax:908-396-6695
Practice Address - Street 1:1560 US HIGHWAY 206
Practice Address - Street 2:
Practice Address - City:BEDMINSTER
Practice Address - State:NJ
Practice Address - Zip Code:07921-2566
Practice Address - Country:US
Practice Address - Phone:908-396-7000
Practice Address - Fax:908-396-6695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-25
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy