Provider Demographics
NPI:1952032559
Name:HENRY J. AUSTIN HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:HENRY J. AUSTIN HEALTH CENTER, INC.
Other - Org Name:HENRY J. AUSTIN PHARMACY DEPARTMENT AT EWING STREET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LARMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-278-5931
Mailing Address - Street 1:321 N WARREN ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-4741
Mailing Address - Country:US
Mailing Address - Phone:609-278-5931
Mailing Address - Fax:609-989-1915
Practice Address - Street 1:112 EWING ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08609-1004
Practice Address - Country:US
Practice Address - Phone:609-278-5931
Practice Address - Fax:609-989-1915
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HENRY J. AUSTIN HEALTH CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-23
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy