Provider Demographics
NPI:1619045986
Name:DAILY-NEED PHARMACY
Entity Type:Organization
Organization Name:DAILY-NEED PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:SHINA
Authorized Official - Middle Name:SHON
Authorized Official - Last Name:BAMIGBADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-623-1440
Mailing Address - Street 1:351 AVON AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07108-1309
Mailing Address - Country:US
Mailing Address - Phone:973-623-1440
Mailing Address - Fax:
Practice Address - Street 1:351 AVON AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07108-1309
Practice Address - Country:US
Practice Address - Phone:973-623-1440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-02
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRS03829003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4374703Medicaid
NJ392026001Medicare ID - Type UnspecifiedPHARMACY