# SAINT MINA & SAINT MOSES PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Well Care Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528428828
- **Authorized official:** NADY AZER (OWNER/PHARMACIST)
- **Authorized official phone:** (201) 455-4785

## Contact information

- **Practice address:** 779 BROADWAY, BAYONNE, NJ 07002-3943
- **Practice address phone:** (201) 455-8600
- **Practice address fax:** (201) 455-8665
- **Mailing address:** 779 BROADWAY, BAYONNE, NJ 07002-3943
- **Mailing address phone:** (201) 455-8600
- **Mailing address fax:** (201) 455-8665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00747200 | NJ | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/29/2016
- **Last updated:** 05/25/2016