# PORTEJAS CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366527657
- **Authorized official:** LUCIA PORTELA (OWNER)
- **Authorized official phone:** (201) 867-6705

## Contact information

- **Practice address:** 4207 BERGENLINE AVE, UNION CITY, NJ 07087-4896
- **Practice address phone:** (201) 867-6705
- **Practice address fax:** (201) 867-3758
- **Mailing address:** 4207 BERGENLINE AVE, UNION CITY, NJ 07087-4896
- **Mailing address phone:** (201) 867-6705
- **Mailing address fax:** (201) 867-3758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00542500 | NJ | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 11/16/2021