Provider Demographics
NPI:1407183676
Name:METRO DRUGS HOBOKEN LLC
Entity Type:Organization
Organization Name:METRO DRUGS HOBOKEN LLC
Other - Org Name:METRO DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:TAWIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-627-2300
Mailing Address - Street 1:16 W 36TH ST
Mailing Address - Street 2:SUITE 1203
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-8004
Mailing Address - Country:US
Mailing Address - Phone:201-253-1100
Mailing Address - Fax:201-253-1107
Practice Address - Street 1:79 HUDSON ST
Practice Address - Street 2:SUITE 302
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5638
Practice Address - Country:US
Practice Address - Phone:201-253-1100
Practice Address - Fax:201-253-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2019-09-07
Deactivation Date:2019-07-29
Deactivation Code:
Reactivation Date:2019-09-07
Provider Licenses
StateLicense IDTaxonomies
NJ28RS00697300333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2122605OtherPK