Provider Demographics
NPI:1831657360
Name:GEORGIES WOOD AVENUE INC
Entity Type:Organization
Organization Name:GEORGIES WOOD AVENUE INC
Other - Org Name:LINDEN SPECIALTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VINEET
Authorized Official - Middle Name:
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:908-925-4566
Mailing Address - Street 1:521 N WOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-4146
Mailing Address - Country:US
Mailing Address - Phone:908-925-4566
Mailing Address - Fax:908-345-5030
Practice Address - Street 1:521 N WOOD AVE
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-4146
Practice Address - Country:US
Practice Address - Phone:908-925-4566
Practice Address - Fax:908-345-5030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RS00770200OtherNJ BOARD OF PHARMACY