Provider Demographics
NPI:1760851414
Name:EASY PHARMACY AT 601, CORP
Entity Type:Organization
Organization Name:EASY PHARMACY AT 601, CORP
Other - Org Name:EASY SURGICALS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KIRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARVATRAO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:732-667-7007
Mailing Address - Street 1:601 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-3257
Mailing Address - Country:US
Mailing Address - Phone:908-927-9000
Mailing Address - Fax:908-927-9002
Practice Address - Street 1:601 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-3257
Practice Address - Country:US
Practice Address - Phone:908-927-9000
Practice Address - Fax:908-927-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ000332B00000X, 332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition