Provider Demographics
NPI:1528539822
Name:NEPTUNE RX LLC
Entity type:Organization
Organization Name:NEPTUNE RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VISHAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SOOD
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:917-710-0940
Mailing Address - Street 1:WEST LAKE PHARMACY
Mailing Address - Street 2:1828 WEST LAKE AVENUE
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753
Mailing Address - Country:US
Mailing Address - Phone:732-455-5885
Mailing Address - Fax:732-455-5887
Practice Address - Street 1:WEST LAKE PHARMACY
Practice Address - Street 2:1828 WEST LAKE AVENUE
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753
Practice Address - Country:US
Practice Address - Phone:732-455-5885
Practice Address - Fax:732-455-5887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-12
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy