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Organization
ULI RX INC
Active
Organization
ULI RX INC
Active
Other names
Irving Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ULLAS PHILIP THANNICKAL RPL (PRESIDENT)
(973) 742-8186
Entity
Organization
Contact information
Practice address
382 MAIN STREET, PATERSON, NJ 07501
(973) 742-8186
(973) 742-8187
Mailing address
382 MAIN STREET, PATERSON, NJ 07501
(973) 742-8186
(973) 742-8187
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02394600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014630
—
NJ
05
—
0014664
—
NJ
Enumeration date
08/29/2006
Last updated
06/18/2008
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