Provider Demographics
NPI:1083058143
Name:AHS HOSPITAL CORP
Entity Type:Organization
Organization Name:AHS HOSPITAL CORP
Other - Org Name:MORRISTOWN MED CTR PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. VP/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LENHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-660-3565
Mailing Address - Street 1:100 MADISON AVE
Mailing Address - Street 2:RETAIL PHARMACY
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07962
Mailing Address - Country:US
Mailing Address - Phone:973-971-6200
Mailing Address - Fax:
Practice Address - Street 1:100 MADISON AVE
Practice Address - Street 2:RETAIL PHARMACY
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07962
Practice Address - Country:US
Practice Address - Phone:973-971-6200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-19
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0414280Medicaid