Provider Demographics
NPI:1679671606
Name:7 ALEFTV, INC.
Entity Type:Organization
Organization Name:7 ALEFTV, INC.
Other - Org Name:BENJAMINS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:JEANNIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:JOO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:201-945-7222
Mailing Address - Street 1:118 BROAD AVE
Mailing Address - Street 2:SUITE N4
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650-2717
Mailing Address - Country:US
Mailing Address - Phone:201-945-7222
Mailing Address - Fax:201-482-8529
Practice Address - Street 1:118 BROAD AVE
Practice Address - Street 2:SUITE N4
Practice Address - City:PALISADES PARK
Practice Address - State:NJ
Practice Address - Zip Code:07650-2717
Practice Address - Country:US
Practice Address - Phone:201-945-7222
Practice Address - Fax:201-482-8529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NJ28RS003982003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3125742OtherNCPDP
NJ4386001Medicaid
3125742OtherNCPDP