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Organization
200 CHESTNUT ST LLC
Active
Organization
200 CHESTNUT ST LLC
Active
Other names
ROSELLE PARK RITA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY SHAH RPH (PHARMACIST IN CHARGE)
(908) 245-1396
Entity
Organization
Contact information
Practice address
200 CHESTNUT ST, ROSELLE PARK, NJ 07204-2263
(908) 245-1396
(908) 245-1616
Mailing address
200 CHESTNUT ST, ROSELLE PARK, NJ 07204-2263
(908) 245-1396
(908) 245-1616
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00660900
NJ
Other
Enumeration date
06/19/2006
Last updated
02/16/2017
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