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Contact Information

REVERENCE DISCOUNT PHARMACY
912 S MAIN ST
PLEASANTVILLE, NJ08232-3618
 Phone: 609-445-4423
 Fax: 609-445-4423
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
 

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for REVERENCE DISCOUNT PHARMACY

NPI # 1235679846
LBN Legal business name REVERENCE DISCOUNT PHARMACY
Authorized official WIDLYNE RUFFIN - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2017
Last updated 04/05/2017 - About 9 years ago
Identifiers
Other 2168126 PK
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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