Provider Demographics
NPI:1659106599
Name:ROYAL CARE PHARMACY LLC
Entity type:Organization
Organization Name:ROYAL CARE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MENA
Authorized Official - Middle Name:
Authorized Official - Last Name:FADEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-688-9106
Mailing Address - Street 1:13 E 34TH ST
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-3988
Mailing Address - Country:US
Mailing Address - Phone:201-688-9106
Mailing Address - Fax:
Practice Address - Street 1:311 SIP AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-6142
Practice Address - Country:US
Practice Address - Phone:201-345-5882
Practice Address - Fax:201-565-3843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy