Provider Demographics
NPI:1437262235
Name:BORO HALL HEALTHCARE, INC.
Entity Type:Organization
Organization Name:BORO HALL HEALTHCARE, INC.
Other - Org Name:BORO HALL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RPH./OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PAMNANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-968-0414
Mailing Address - Street 1:565 BOUND BROOK RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NJ
Mailing Address - Zip Code:08846-1535
Mailing Address - Country:US
Mailing Address - Phone:732-968-0414
Mailing Address - Fax:732-424-1988
Practice Address - Street 1:565 BOUND BROOK RD
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NJ
Practice Address - Zip Code:08846-1535
Practice Address - Country:US
Practice Address - Phone:732-968-0414
Practice Address - Fax:732-424-1988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0095320Medicaid
NJ0095320Medicaid