Provider Demographics
NPI:1295451748
Name:CARL'S TOWN PHARMACY LLC
Entity type:Organization
Organization Name:CARL'S TOWN PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCO
Authorized Official - Middle Name:
Authorized Official - Last Name:JAIME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-777-1304
Mailing Address - Street 1:326 GARDEN ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:CARLSTADT
Mailing Address - State:NJ
Mailing Address - Zip Code:07072-1626
Mailing Address - Country:US
Mailing Address - Phone:201-777-1304
Mailing Address - Fax:844-246-5441
Practice Address - Street 1:326 GARDEN ST UNIT 2
Practice Address - Street 2:
Practice Address - City:CARLSTADT
Practice Address - State:NJ
Practice Address - Zip Code:07072-1626
Practice Address - Country:US
Practice Address - Phone:201-777-1304
Practice Address - Fax:844-246-5441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy