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Organization
BLUE GOOSE PHARMACY
Active
Organization
BLUE GOOSE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRFAN NASIM (OWNER)
(551) 333-4434
Entity
Organization
Contact information
Practice address
2106 KENNEDY BLVD # 2, UNION CITY, NJ 07087-2144
(201) 864-1924
Mailing address
2106 KENNEDY BLVD # 2, UNION CITY, NJ 07087-2144
(201) 864-1924
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
09/21/2021
Last updated
11/23/2021
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