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Organization
HASIARD MEO ENTERPRISE INC
Active
Organization
HASIARD MEO ENTERPRISE INC
Active
Other names
SPRINGFIELD AVE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA ANTONIA WALTON RPH (RPH IN CHARGE)
(973) 373-5846
Entity
Organization
Contact information
Practice address
658 SPRINGFIELD AVE, NEWARK, NJ 07103-1011
(973) 373-5846
(973) 373-2877
Mailing address
658 SPRINGFIELD AVE, NEWARK, NJ 07103-1011
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
02944
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3122556
OTHER ID NUMBER
—
05
—
4325807
—
NJ
Enumeration date
08/10/2006
Last updated
07/11/2008
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