Provider Demographics
NPI:1891362372
Name:LITTLE FERRY PHARMACY, LLC.
Entity type:Organization
Organization Name:LITTLE FERRY PHARMACY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TAEHEE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:201-870-6500
Mailing Address - Street 1:260 BERGEN TPKE
Mailing Address - Street 2:
Mailing Address - City:LITTLE FERRY
Mailing Address - State:NJ
Mailing Address - Zip Code:07643-1104
Mailing Address - Country:US
Mailing Address - Phone:201-870-6500
Mailing Address - Fax:201-870-6023
Practice Address - Street 1:260 BERGEN TPKE
Practice Address - Street 2:
Practice Address - City:LITTLE FERRY
Practice Address - State:NJ
Practice Address - Zip Code:07643-1104
Practice Address - Country:US
Practice Address - Phone:201-870-6500
Practice Address - Fax:201-870-6023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-04
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy