Provider Demographics
NPI:1437292281
Name:FRENCHTOWN DRUG STORE INC
Entity Type:Organization
Organization Name:FRENCHTOWN DRUG STORE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:GIARRETTA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:908-996-2641
Mailing Address - Street 1:9 KINGWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FRENCHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08825-1023
Mailing Address - Country:US
Mailing Address - Phone:908-996-2641
Mailing Address - Fax:908-996-7193
Practice Address - Street 1:9 KINGWOOD AVE
Practice Address - Street 2:
Practice Address - City:FRENCHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08825-1023
Practice Address - Country:US
Practice Address - Phone:908-996-2641
Practice Address - Fax:908-996-7193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS003727003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4368207Medicaid
NJ4368207Medicaid