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Organization
JERRY'S DRUG & SURGICAL LLC
Active
Organization
JERRY'S DRUG & SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY PATEL (OWNER/MANAGING MEMBER)
(201) 339-1992
Entity
Organization
Contact information
Practice address
455 BROADWAY, BAYONNE, NJ 07002-7112
(201) 339-1992
(201) 339-3616
Mailing address
455 BROADWAY, BAYONNE, NJ 07002-7112
(201) 339-1992
(201) 339-3616
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Enumeration date
06/14/2023
Last updated
12/03/2024
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