Provider Demographics
NPI:1255499372
Name:ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON
Entity Type:Organization
Organization Name:ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON
Other - Org Name:THE ATRIUM APOTHECARY AT HAMILTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ST JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:609-584-2614
Mailing Address - Street 1:5 HAMITON HEALTH PLACE
Mailing Address - Street 2:
Mailing Address - City:HAMITON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690
Mailing Address - Country:US
Mailing Address - Phone:609-584-2614
Mailing Address - Fax:609-584-2615
Practice Address - Street 1:5 HAMITON HEALTH PLACE
Practice Address - Street 2:
Practice Address - City:HAMITON
Practice Address - State:NJ
Practice Address - Zip Code:08690
Practice Address - Country:US
Practice Address - Phone:609-584-2614
Practice Address - Fax:609-584-2615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0002X, 3336C0004X
NJRS006662003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3194052OtherNCPDP PROVIDER IDENTIFICATION NUMBER