Provider Demographics
NPI:1558633248
Name:ALL WELLNESS PHARMACY INC.
Entity Type:Organization
Organization Name:ALL WELLNESS PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZBARSKY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:732-987-4209
Mailing Address - Street 1:180 N COUNTY LINE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-4797
Mailing Address - Country:US
Mailing Address - Phone:732-987-4209
Mailing Address - Fax:732-987-4212
Practice Address - Street 1:180 N COUNTY LINE RD
Practice Address - Street 2:SUITE C
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-4797
Practice Address - Country:US
Practice Address - Phone:732-987-4209
Practice Address - Fax:732-987-4212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-27
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS007173003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6684450001Medicare NSC