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Organization
PRIME AID PHARMACY CORP
Active
Organization
PRIME AID PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR FLEYSHMAKHER (PRESIDENT)
(917) 446-2000
Entity
Organization
Contact information
Practice address
3915 BERGENLINE AVENUE, UNION CITY, NJ 07087
(201) 864-0100
(201) 864-0130
Mailing address
3915 BERGENLINE AVENUE, UNION CITY, NJ 07087
(201) 864-0100
(201) 864-0130
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00668800
NJ
3336C0003X
Community/Retail Pharmacy
—
NULL
3336M0002X
Mail Order Pharmacy
28RS00668800
NJ
3336S0011X
Specialty Pharmacy
28RS00668800
NJ
Other
Enumeration date
03/01/2007
Last updated
11/30/2010
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