Provider Demographics
NPI:1548822687
Name:FUTURE PHARMACY 4 LLC
Entity type:Organization
Organization Name:FUTURE PHARMACY 4 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:732-851-7100
Mailing Address - Street 1:700 TENNENT RD STE 9
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3148
Mailing Address - Country:US
Mailing Address - Phone:732-851-7100
Mailing Address - Fax:732-851-7400
Practice Address - Street 1:700 TENNENT RD STE 9
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3148
Practice Address - Country:US
Practice Address - Phone:732-851-7100
Practice Address - Fax:732-851-7400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy