Provider Demographics
NPI:1629445812
Name:PHARMA PLUS PHARMACY LLC
Entity Type:Organization
Organization Name:PHARMA PLUS PHARMACY LLC
Other - Org Name:PHARMA PLUS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DLAVAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ATHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-370-4777
Mailing Address - Street 1:10 S NEW PROSPECT RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-1645
Mailing Address - Country:US
Mailing Address - Phone:732-370-4777
Mailing Address - Fax:732-370-4797
Practice Address - Street 1:10 S NEW PROSPECT RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-1645
Practice Address - Country:US
Practice Address - Phone:732-370-4777
Practice Address - Fax:732-370-4797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy