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Organization
BERGEN ROAD PHARMACY
Active
Organization
BERGEN ROAD PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRFAN ALI PHARM D. (PRESIDENT)
(917) 224-1652
Entity
Organization
Contact information
Practice address
239 OLD BERGEN RD, JERSEY CITY, NJ 07305-2620
(201) 994-4065
Mailing address
239 OLD BERGEN RD, JERSEY CITY, NJ 07305-2620
(201) 434-8062
(201) 434-7596
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
03/02/2023
Last updated
12/13/2023
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