Provider Demographics
NPI:1801937347
Name:PRICUS, INC.
Entity type:Organization
Organization Name:PRICUS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:OSEI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:973-824-8664
Mailing Address - Street 1:20 HOYT ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-3908
Mailing Address - Country:US
Mailing Address - Phone:973-824-8664
Mailing Address - Fax:973-824-9157
Practice Address - Street 1:20 HOYT ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-3908
Practice Address - Country:US
Practice Address - Phone:973-824-8664
Practice Address - Fax:973-824-9157
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRICUS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-09
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0096997Medicaid
NJ0096997Medicaid