Provider Demographics
NPI:1568954477
Name:HUNTS MILL RX LLC
Entity Type:Organization
Organization Name:HUNTS MILL RX LLC
Other - Org Name:HUNTS MILL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:YUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-323-2020
Mailing Address - Street 1:14 MAIN STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CLINTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08809-1408
Mailing Address - Country:US
Mailing Address - Phone:908-323-2020
Mailing Address - Fax:908-323-2017
Practice Address - Street 1:14 MAIN STREET
Practice Address - Street 2:SUITE 1
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809
Practice Address - Country:US
Practice Address - Phone:908-323-2020
Practice Address - Fax:908-323-2017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-06
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NJ28RS007417003336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2177943OtherPK