Provider Demographics
NPI:1770598385
Name:ACERE DRUGS INC
Entity type:Organization
Organization Name:ACERE DRUGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/RPIC
Authorized Official - Prefix:
Authorized Official - First Name:LORENZO
Authorized Official - Middle Name:
Authorized Official - Last Name:SOCAS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:201-348-2667
Mailing Address - Street 1:2301 BERGENLINE AVE
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-3523
Mailing Address - Country:US
Mailing Address - Phone:201-348-2667
Mailing Address - Fax:201-348-0436
Practice Address - Street 1:2301 BERGENLINE AVE
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-3523
Practice Address - Country:US
Practice Address - Phone:201-348-2667
Practice Address - Fax:201-348-0436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336S0011X
NJ28RS006893003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0206890Medicaid
2119516OtherPK
NJ0206890Medicaid