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Organization
LONDON PRIVATE LLC
Active
Organization
LONDON PRIVATE LLC
Active
Other names
SUN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TANUP PATEL PHARM D. (OWNER, PIC)
(908) 331-3426
Entity
Organization
Contact information
Practice address
989 BLOOMFIELD AVE, GLEN RIDGE, NJ 07028-1301
(973) 429-9300
(973) 429-9302
Mailing address
989 BLOOMFIELD AVE, GLEN RIDGE, NJ 07028-1301
(973) 429-9300
(973) 429-9302
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00738200
NJ
3336C0004X
Compounding Pharmacy
—
NULL
Other
Enumeration date
01/13/2015
Last updated
07/07/2016
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