Organization Name: | SHORT HILLS PHARMACY, L.L.C. |
NPI Number: | 1841213261 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER J OTTO (PHARMACIST IN CHARGE/PRESIDENT) |
Mailing Address: | 40 Chatham Rd Short Hills |
State: | NJ US |
Postal Code: | 070782303 |
Phone Number: | 9733793333 |
Fax Number: | 9733794967 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 11/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 7693508 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |