Provider Demographics
NPI:1073808044
Name:PARKWAY SPECIALTY PHARMACY
Entity Type:Organization
Organization Name:PARKWAY SPECIALTY PHARMACY
Other - Org Name:PARKWAY PHARMACY LP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BLEZNICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-355-7797
Mailing Address - Street 1:3502 US HIGHWAY 9
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-3345
Mailing Address - Country:US
Mailing Address - Phone:866-355-7797
Mailing Address - Fax:888-551-6289
Practice Address - Street 1:3502 US HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-3345
Practice Address - Country:US
Practice Address - Phone:866-355-7797
Practice Address - Fax:888-551-6289
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARKWAY PHARMACY LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-06-17
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS007063003336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy