Provider Demographics
NPI:1548286495
Name:OLSHINS PHARMACY INC
Entity type:Organization
Organization Name:OLSHINS PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMALHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-344-9000
Mailing Address - Street 1:114 CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105-1723
Mailing Address - Country:US
Mailing Address - Phone:973-344-9000
Mailing Address - Fax:973-589-0837
Practice Address - Street 1:114 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-1723
Practice Address - Country:US
Practice Address - Phone:973-344-9000
Practice Address - Fax:973-589-0837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NJ28RS004475003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2054304OtherPK
0275530001Medicare NSC