Provider Demographics
NPI:1154473718
Name:RAJSITA2 INC
Entity Type:Organization
Organization Name:RAJSITA2 INC
Other - Org Name:MEDICINE EXPRESS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAJENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-386-3630
Mailing Address - Street 1:1005 SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-2251
Mailing Address - Country:US
Mailing Address - Phone:609-386-3630
Mailing Address - Fax:609-386-0134
Practice Address - Street 1:1005 SUNSET RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-2251
Practice Address - Country:US
Practice Address - Phone:609-386-3630
Practice Address - Fax:609-386-0134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS003882003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3128306OtherNCPDP
NJ4378504Medicaid
NJ5843080001Medicare NSC