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Contact Information

DELRAN PHARMACY
88 HARTFORD ROAD
SUITE A
DELRAN, NJ08075
 Phone: 856-764-5400
 Fax: 856-461-1364
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DELRAN PHARMACY

NPI Number 1316298524
LBN Legal business name DELRAN PHARMACY
Authorized official JOSEPH JESUELE - (OWNER,PIC,AO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/27/2012
Last updated 02/20/2017 - About 9 years ago
Identifiers
NJ License # 28RS00721400
NJ Medicaid 0316237
Other 2136999 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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