# UNION AVENUE HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UNION AVENUE LEGEND PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700807773
- **Authorized official:** JATIN PATEL (OWNER)
- **Authorized official phone:** (732) 356-3113

## Contact information

- **Practice address:** 433 W UNION AVE, BOUND BROOK, NJ 08805-1220
- **Practice address phone:** (732) 356-3113
- **Practice address fax:** (732) 356-6691
- **Mailing address:** 433 W UNION AVE, BOUND BROOK, NJ 08805-1220
- **Mailing address phone:** (732) 356-3113
- **Mailing address fax:** (732) 356-6691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00584200 | NJ | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 10/23/2014