Provider Demographics
NPI:1134276637
Name:STERLING PHARMACY, INC.
Entity type:Organization
Organization Name:STERLING PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MURRAY
Authorized Official - Middle Name:C
Authorized Official - Last Name:LIGHTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:856-346-1122
Mailing Address - Street 1:404 N WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08084-1113
Mailing Address - Country:US
Mailing Address - Phone:856-346-1122
Mailing Address - Fax:856-346-1667
Practice Address - Street 1:404 N WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1113
Practice Address - Country:US
Practice Address - Phone:856-346-1122
Practice Address - Fax:856-346-1667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS002399003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4311205Medicaid
NJ0243390001Medicare NSC