Provider Demographics
NPI:1104164664
Name:NEFF DRUGS 21 LLC
Entity type:Organization
Organization Name:NEFF DRUGS 21 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER LLC
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:RALSTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:215-630-4650
Mailing Address - Street 1:2500 FEDERAL ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08105-1939
Mailing Address - Country:US
Mailing Address - Phone:856-963-2900
Mailing Address - Fax:856-963-2909
Practice Address - Street 1:2500 FEDERAL ST
Practice Address - Street 2:SUITE A
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08105-1939
Practice Address - Country:US
Practice Address - Phone:856-963-2900
Practice Address - Fax:856-963-2909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS007239003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy