Provider Demographics
NPI:1730197997
Name:VAKIL APOTHECARY INC
Entity type:Organization
Organization Name:VAKIL APOTHECARY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMICIST
Authorized Official - Prefix:
Authorized Official - First Name:ALKA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAKIL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:973-763-5252
Mailing Address - Street 1:2168 MILLBURN AVE
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-2640
Mailing Address - Country:US
Mailing Address - Phone:973-763-5252
Mailing Address - Fax:973-763-9585
Practice Address - Street 1:2168 MILLBURN AVE
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-2640
Practice Address - Country:US
Practice Address - Phone:973-763-5252
Practice Address - Fax:973-763-9585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8329702Medicaid
NJ8329702Medicaid