Provider Demographics
NPI:1376911982
Name:NEIL DRUGS INC
Entity Type:Organization
Organization Name:NEIL DRUGS INC
Other - Org Name:LINDEN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANUP
Authorized Official - Middle Name:
Authorized Official - Last Name:BORAWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-735-2691
Mailing Address - Street 1:15 N WOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-7221
Mailing Address - Country:US
Mailing Address - Phone:908-583-6665
Mailing Address - Fax:908-583-6063
Practice Address - Street 1:15 N WOOD AVE
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-7221
Practice Address - Country:US
Practice Address - Phone:908-583-6665
Practice Address - Fax:908-583-6063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-14
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
NJ28RS007435003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2154038OtherPK