Provider Demographics
NPI:1689706657
Name:UNITED DRUGS INC
Entity Type:Organization
Organization Name:UNITED DRUGS INC
Other - Org Name:NEW UNIVERSITY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ENEMUO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-642-8200
Mailing Address - Street 1:236 S ORANGE AVE # 242
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2459
Mailing Address - Country:US
Mailing Address - Phone:973-642-8200
Mailing Address - Fax:973-642-3042
Practice Address - Street 1:236 S ORANGE AVE # 242
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2459
Practice Address - Country:US
Practice Address - Phone:973-642-8200
Practice Address - Fax:973-642-3042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ5524333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7452802Medicaid