Provider Demographics
NPI:1073356259
Name:NN PHARMACY INC
Entity type:Organization
Organization Name:NN PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUBBA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGELI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-496-9356
Mailing Address - Street 1:4121 NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-4927
Mailing Address - Country:US
Mailing Address - Phone:201-758-8981
Mailing Address - Fax:201-758-8983
Practice Address - Street 1:4121 NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-4927
Practice Address - Country:US
Practice Address - Phone:201-758-8981
Practice Address - Fax:201-758-8983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy