# SHREE SHAKTI INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DeRosa Pharmacy and Home Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063097368
- **Authorized official:** DR. PURNIMA S. SHAH PHD, RPH (VICE PRESIDENT)
- **Authorized official phone:** (973) 482-6753

## Contact information

- **Practice address:** 570 BLOOMFIELD AVE, NEWARK, NJ 07107-1346
- **Practice address phone:** (973) 482-6753
- **Practice address fax:** (973) 482-0356
- **Mailing address:** 570 BLOOMFIELD AVE, NEWARK, NJ 07107-1346
- **Mailing address phone:** (973) 482-6753
- **Mailing address fax:** (973) 482-0356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/17/2021
- **Last updated:** 03/18/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0035360 | — | NJ |
| 05 | — | 3019705 | — | NJ |
| 05 | — | 4332504 | — | NJ |