Provider Demographics
NPI:1285010306
Name:BIOLOGICTX LLC
Entity Type:Organization
Organization Name:BIOLOGICTX LLC
Other - Org Name:BIOMATRIX SPECIALTY PHARMACY NJ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, LLC MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHEE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KRAMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-385-7322
Mailing Address - Street 1:40D COMMERCE WAY
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-3109
Mailing Address - Country:US
Mailing Address - Phone:800-567-8087
Mailing Address - Fax:
Practice Address - Street 1:40D COMMERCE WAY
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-3109
Practice Address - Country:US
Practice Address - Phone:800-567-8087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIOMATRIX SPECIALTY PHARMACY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-31
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01986300261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy