Provider Demographics
NPI:1356154769
Name:PATIENT FRIENDLY SPECIALTY PHARMACY -PFSP
Entity type:Organization
Organization Name:PATIENT FRIENDLY SPECIALTY PHARMACY -PFSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-666-0333
Mailing Address - Street 1:539 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07043-3814
Mailing Address - Country:US
Mailing Address - Phone:908-666-0333
Mailing Address - Fax:877-274-3727
Practice Address - Street 1:539 VALLEY RD
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07043-3814
Practice Address - Country:US
Practice Address - Phone:908-666-0333
Practice Address - Fax:877-274-3727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy