Provider Demographics
NPI:1225073125
Name:WEST TRENTON PHARMACY INC.
Entity Type:Organization
Organization Name:WEST TRENTON PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHOEN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:609-882-3131
Mailing Address - Street 1:618 BEAR TAVERN RD
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08628-2701
Mailing Address - Country:US
Mailing Address - Phone:609-882-3131
Mailing Address - Fax:609-882-7926
Practice Address - Street 1:618 BEAR TAVERN RD
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08628-2701
Practice Address - Country:US
Practice Address - Phone:609-882-3131
Practice Address - Fax:609-882-7926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS003943003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4025410001Medicare NSC