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Organization
ST. ANN'S PHARMACY, INC.
Active
Organization
ST. ANN'S PHARMACY, INC.
Active
Other names
South River Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ASHRAF BASTA (PHARMACIST)
(732) 257-0069
Entity
Organization
Contact information
Practice address
54 MAIN ST, SOUTH RIVER, NJ 08882-1225
(732) 257-0069
Mailing address
54 MAIN ST, SOUTH RIVER, NJ 08882-1225
(732) 257-0069
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RS00531800
NJ
Other
Enumeration date
02/01/2007
Last updated
06/16/2008
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