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Organization
SOUTH BROAD DRUGS INC
Active
Organization
SOUTH BROAD DRUGS INC
Active
Other names
SOUTH BROAD DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
VINODRAI SHAH RPH (SUPERVISING RPH)
(973) 824-3929
Entity
Organization
Contact information
Practice address
1094 BROAD ST, NEWARK, NJ 07114-2004
(973) 824-3929
(973) 824-9446
Mailing address
1094 BROAD ST, NEWARK, NJ 07114-2004
(973) 824-3929
(973) 824-9446
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00358500
NJ
Other
Enumeration date
07/22/2006
Last updated
04/20/2011
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