Provider Demographics
NPI:1972297844
Name:PHARMACY PLUS & SURGICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:PHARMACY PLUS & SURGICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:M
Authorized Official - Last Name:BADER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:973-900-9275
Mailing Address - Street 1:236 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07029-1347
Mailing Address - Country:US
Mailing Address - Phone:973-900-9275
Mailing Address - Fax:862-849-2189
Practice Address - Street 1:236 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NJ
Practice Address - Zip Code:07029-1347
Practice Address - Country:US
Practice Address - Phone:973-900-9275
Practice Address - Fax:862-849-2189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0002XSuppliersPharmacyClinic Pharmacy