Provider Demographics
NPI:1467707281
Name:EMISWET E-Z LLC
Entity Type:Organization
Organization Name:EMISWET E-Z LLC
Other - Org Name:E-Z HEALTHMART PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:NKECHI
Authorized Official - Last Name:ONYEKWELU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:732-561-3339
Mailing Address - Street 1:1018 US HIGHWAY 9
Mailing Address - Street 2:E-Z HEALTHMART PHARMACY
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-1401
Mailing Address - Country:US
Mailing Address - Phone:732-561-3339
Mailing Address - Fax:732-561-3340
Practice Address - Street 1:1018 US HIGHWAY 9
Practice Address - Street 2:1018 US HIGHWAY 9 ,OLD BRIDGE GATEWAY SHOPPING CENTER
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-1401
Practice Address - Country:US
Practice Address - Phone:732-561-3339
Practice Address - Fax:732-561-3340
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMISWET E-Z LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-07-18
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28I034866003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1164744934OtherNPI
NJ28RI03486600OtherBOARD OF PHARMACY NEW JERSEY DEPARTMENT OF LAW AND PUBLIC SAFETY DIVISION OF CO
NYI 053295OtherNEW YORK STATE BOARD OF PHARMACY