Provider Demographics
NPI:1407927429
Name:SIMCARE SURGICAL LTD
Entity Type:Organization
Organization Name:SIMCARE SURGICAL LTD
Other - Org Name:SIMCARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC AND PRES
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MERLINO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:609-625-2525
Mailing Address - Street 1:8 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-1504
Mailing Address - Country:US
Mailing Address - Phone:609-625-2525
Mailing Address - Fax:609-625-6347
Practice Address - Street 1:8 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-1504
Practice Address - Country:US
Practice Address - Phone:609-625-2525
Practice Address - Fax:609-625-6347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X
NJ28RS005682003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2054080OtherPK
NJ7880405Medicaid
2054080OtherPK