Provider Demographics
NPI:1336529551
Name:HOME HEALTH PHARMACY
Entity Type:Organization
Organization Name:HOME HEALTH PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MOSHE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-678-5500
Mailing Address - Street 1:576 CENTRAL AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-1951
Mailing Address - Country:US
Mailing Address - Phone:973-678-5500
Mailing Address - Fax:973-678-5550
Practice Address - Street 1:1195 AIRPORT RD
Practice Address - Street 2:SUITE 9B
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5970
Practice Address - Country:US
Practice Address - Phone:973-678-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy