# YAGNAM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** La Nueva Mercedes Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720521420
- **Authorized official:** PRATIK PATEL PHARMD (PHARMACIST IN CHARGE)
- **Authorized official phone:** (973) 279-2800

## Contact information

- **Practice address:** 500 RIVER ST, PATERSON, NJ 07524-1903
- **Practice address phone:** (973) 279-2800
- **Practice address fax:** (973) 279-2197
- **Mailing address:** 500 RIVER ST, PATERSON, NJ 07524-1903
- **Mailing address phone:** (973) 279-2800
- **Mailing address fax:** (973) 279-2197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00328400 | NJ | Yes |

## Other

- **Enumeration date:** 11/29/2016
- **Last updated:** 04/25/2017