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Organization
ST MARIA PHARMACY
Active
Organization
ST MARIA PHARMACY
Active
Other names
St Maria Pharmacy, Corp
Organization subpart
No
Provider details
NPI number
Authorized official
FEBY A GEWARGY (OWNER)
(347) 681-5054
Entity
Organization
Contact information
Practice address
1093 AVE C, BAYONNE, NJ 07002
(201) 935-0440
(201) 353-0420
Mailing address
1093 AVE C, BAYONNE, NJ 07002
(201) 935-0440
(201) 353-0420
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00750600
NJ
3336C0004X
Compounding Pharmacy
—
NULL
Other
Enumeration date
06/22/2016
Last updated
10/20/2020
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