Provider Demographics
NPI:1265144885
Name:PHARMACY SOLUTIONS LLC
Entity type:Organization
Organization Name:PHARMACY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RUDOLF
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:LICWINKO
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:732-503-7381
Mailing Address - Street 1:8 DIANE RD
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-4315
Mailing Address - Country:US
Mailing Address - Phone:609-549-3836
Mailing Address - Fax:609-549-3841
Practice Address - Street 1:8 DIANE RD
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-4315
Practice Address - Country:US
Practice Address - Phone:609-549-3836
Practice Address - Fax:609-549-3841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy