# FARMACIA LATINA CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861790040
- **Authorized official:** MR. STEPHEN W BLOOMFIELD (PHARMACIST-IN-CHARGE)
- **Authorized official phone:** (201) 766-5526

## Contact information

- **Practice address:** 216 48TH STREET, UNION CITY, NJ 07087
- **Practice address phone:** (201) 766-5526
- **Practice address fax:** (201) 766-5528
- **Mailing address:** 216 48TH STREET, UNION CITY, NJ 07087
- **Mailing address phone:** (201) 766-5526
- **Mailing address fax:** (201) 766-5528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RS00710900 | NJ | Yes |

## Other

- **Enumeration date:** 03/11/2011
- **Last updated:** 08/15/2014