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BLOOMING HEALTH LLC NPI 1194367987


NPI Information

NPI: 1194367987
Provider Name: BLOOMING HEALTH LLC

Doing Business As: PARK RIDGE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
40 PARK AVE, STORE # 5
PARK RIDGE, NJ
ZIP 07656
Phone: (201) 554-2200
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BLOOMING HEALTH LLC is a community/retail pharmacy pharmacy in Park Ridge, NJ. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. BLOOMING HEALTH LLC NPI is 1194367987. The provider is registered as an organization entity type.
The provider Is Doing Business As Park Ridge Pharmacy.

The provider's business location address is:

40 PARK AVE, STORE # 5
PARK RIDGE, NJ
ZIP 07656-765
Phone: (201) 554-2200
Fax: (201) 554-2300

The provider's authorized official is Amgad Wassef .
The authorized official title is Ceo / Owner and has the following contact phone number (914) 886-2253.

The enumeration date for this NPI number is 10/13/2019 and was last updated on 11/25/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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