Provider Demographics
NPI:1700116019
Name:DRUG AID PHARMACY LLC
Entity Type:Organization
Organization Name:DRUG AID PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERIAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-689-7950
Mailing Address - Street 1:259 ROSA PARKS BLVD
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07501-1611
Mailing Address - Country:US
Mailing Address - Phone:973-689-7950
Mailing Address - Fax:973-689-7952
Practice Address - Street 1:259 ROSA PARKS BLVD
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07501-1611
Practice Address - Country:US
Practice Address - Phone:973-689-7950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-08
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy