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Organization
SANTA MARIA PHARMACY LLC
Active
Organization
SANTA MARIA PHARMACY LLC
Active
Other names
Santa Maria Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIMAL R PATEL (PHARMACIST IN CHARGE)
(201) 864-6307
Entity
Organization
Contact information
Practice address
1115 NEW YORK AVE, UNION CITY, NJ 07087-4207
(201) 864-6307
(201) 864-7254
Mailing address
1115 NEW YORK AVE, UNION CITY, NJ 07087-4207
(201) 864-6307
(201) 864-7254
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
28RS00287200
NJ
3336C0003X
Community/Retail Pharmacy
Primary
28RS00287200
NJ
Other
Enumeration date
11/03/2005
Last updated
06/01/2021
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