Provider Demographics
NPI:1396129995
Name:DOWNTOWN MANAGEMENT LLC
Entity type:Organization
Organization Name:DOWNTOWN MANAGEMENT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAUROV
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:201-885-2939
Mailing Address - Street 1:18 PARK AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-7380
Mailing Address - Country:US
Mailing Address - Phone:201-885-2939
Mailing Address - Fax:201-885-2931
Practice Address - Street 1:201 MORRIS BLVD
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-7380
Practice Address - Country:US
Practice Address - Phone:201-885-2939
Practice Address - Fax:201-885-2931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-13
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RS00742500OtherNJ STATE LICENSE
NJ7524780001Medicare NSC