Provider Demographics
NPI:1205100773
Name:PHARMACY VALUE INC.
Entity type:Organization
Organization Name:PHARMACY VALUE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ADALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUERO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:201-662-7949
Mailing Address - Street 1:7012 PARK AVE
Mailing Address - Street 2:BASEMENT
Mailing Address - City:GUTTENBERG
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-4708
Mailing Address - Country:US
Mailing Address - Phone:201-662-7949
Mailing Address - Fax:201-662-9469
Practice Address - Street 1:7012 PARK AVE
Practice Address - Street 2:BASEMENT
Practice Address - City:GUTTENBERG
Practice Address - State:NJ
Practice Address - Zip Code:07093-4708
Practice Address - Country:US
Practice Address - Phone:201-662-7949
Practice Address - Fax:201-662-9469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS00404500333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy