Provider Demographics
NPI:1558969170
Name:PLAINFIELD RX LLC
Entity Type:Organization
Organization Name:PLAINFIELD RX LLC
Other - Org Name:HEALTHWELL COMMUNITY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BHAVESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:908-324-5100
Mailing Address - Street 1:116 E FRONT ST
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-1202
Mailing Address - Country:US
Mailing Address - Phone:908-324-5100
Mailing Address - Fax:908-293-2463
Practice Address - Street 1:116 E FRONT ST
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-1202
Practice Address - Country:US
Practice Address - Phone:908-324-5100
Practice Address - Fax:908-293-2463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-15
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty