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Contact Information

PROFESSIONAL PAIN MANAGEMENT DISPENSARY
2007 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ08094-9120
 Phone: 856-740-4888
 Fax: 856-740-0558
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PROFESSIONAL PAIN MANAGEMENT DISPENSARY

NPI # 1083006886
LBN Legal business name PROFESSIONAL PAIN MANAGEMENT DISPENSARY
Authorized official PETER CORDA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/03/2015
Last updated 03/03/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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