Provider Demographics
NPI:1093191264
Name:PARTNERS PHARMACY LLC
Entity Type:Organization
Organization Name:PARTNERS PHARMACY LLC
Other - Org Name:PARTNERS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-206-2664
Mailing Address - Street 1:1175 DEHIRSCH AVE
Mailing Address - Street 2:
Mailing Address - City:WOODBINE
Mailing Address - State:NJ
Mailing Address - Zip Code:08270-2401
Mailing Address - Country:US
Mailing Address - Phone:609-427-8075
Mailing Address - Fax:
Practice Address - Street 1:1175 DEHIRSCH AVE
Practice Address - Street 2:
Practice Address - City:WOODBINE
Practice Address - State:NJ
Practice Address - Zip Code:08270-2401
Practice Address - Country:US
Practice Address - Phone:609-427-8075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARTNERS PHARMACY SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-10
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS007414003336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy