Provider Demographics
NPI:1437229713
Name:MEDSINBOX LTC LLC
Entity Type:Organization
Organization Name:MEDSINBOX LTC LLC
Other - Org Name:FARMACIA SAN ANTONIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAJENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-534-5189
Mailing Address - Street 1:2319 FEDERAL ST
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08105-1929
Mailing Address - Country:US
Mailing Address - Phone:856-964-4600
Mailing Address - Fax:856-964-7800
Practice Address - Street 1:2319 FEDERAL ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08105-1929
Practice Address - Country:US
Practice Address - Phone:856-964-4600
Practice Address - Fax:856-964-7800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS006419003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0053287Medicaid
NJ5276280001Medicare NSC