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Organization
DIAMOND BRIDGE PHARMACY LLC
Active
Organization
DIAMOND BRIDGE PHARMACY LLC
Active
Other names
Melcons Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ARCHIT PATEL (SOLE MEMBER)
(973) 722-6664
Entity
Organization
Contact information
Practice address
293 LAFAYETTE AVE STE 100, HAWTHORNE, NJ 07506-2033
(973) 427-1234
(973) 427-6624
Mailing address
293 LAFAYETTE AVE STE 100, HAWTHORNE, NJ 07506-2033
(973) 427-1234
(973) 427-6624
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00372200
NJ
Other
Enumeration date
11/16/2006
Last updated
01/09/2025
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