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Organization
YAGNAM LLC
Active
Organization
YAGNAM LLC
Active
Other names
La Nueva Mercedes Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PRATIK PATEL PHARMD (PHARMACIST IN CHARGE)
(973) 279-2800
Entity
Organization
Contact information
Practice address
500 RIVER ST, PATERSON, NJ 07524-1903
(973) 279-2800
(973) 279-2197
Mailing address
500 RIVER ST, PATERSON, NJ 07524-1903
(973) 279-2800
(973) 279-2197
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00328400
NJ
Other
Enumeration date
11/29/2016
Last updated
04/25/2017
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