Provider Demographics
NPI:1356500870
Name:SZS INC
Entity Type:Organization
Organization Name:SZS INC
Other - Org Name:THE MCGRATH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:ZAGOREOS
Authorized Official - Suffix:
Authorized Official - Credentials:RP CCP
Authorized Official - Phone:609-882-7777
Mailing Address - Street 1:1251 LAWRENCE RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-3545
Mailing Address - Country:US
Mailing Address - Phone:609-882-7777
Mailing Address - Fax:609-530-1475
Practice Address - Street 1:1251 LAWRENCE RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-3545
Practice Address - Country:US
Practice Address - Phone:609-882-7777
Practice Address - Fax:609-530-1475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS003876003336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4277015Medicaid