Organization · Type 2 NPI
Spring Spa Depot Corporation
Non-Pharmacy Dispensing Site · Newark, NJ
NPI number
1083972442
Active
Practice location
6 Goble St
Newark, NJ 07114-2702
Mailing address
PO Box 32534
Newark, NJ 07102-0934
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Preferred Provider Organization | 305R00000X | None listed |
| Physical Disabilities Residential Treatment Facility | 320700000X | None listed |
| Non-Pharmacy Dispensing Site Primary | 332900000X | None listed |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Other non-pharmacy dispensing site providers in Newark
About NPI 1083972442
Spring Spa Depot Corporation's National Provider Identifier is 1083972442, issued on Apr 24, 2012. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Newark, NJ. The record was last updated on Apr 24, 2012.