# LA NUEVA MERCEDES INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** La Nueva Mercedes Pharmacy -Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053412585
- **Authorized official:** MISS BLANCA GONZALEZ (BILLER/MANAGER)
- **Authorized official phone:** (973) 279-2800

## Contact information

- **Practice address:** 500 RIVER ST, PATERSON, NJ 07524-1903
- **Practice address phone:** (973) 279-2800
- **Practice address fax:** (973) 279-2197
- **Mailing address:** 500 RIVER ST, PATERSON, NJ 07524-1903
- **Mailing address phone:** (973) 279-2800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 28RS00328400 | NJ | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 05/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2821907 | — | NJ |