Organization
WAINGER'S DRUG STORE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MYRON JAMES WAINGER RETIRED RPH (OWNER)
(908) 354-2416
Entity
Organization
Contact information
Practice address
605 SOUTH BROAD ST., ELIZABETH, NJ 07202-2601
(908) 354-2416
(908) 352-0300
Mailing address
605 SOUTH BROAD ST., ELIZABETH, NJ 07202-2601
(908) 354-2416
(908) 352-0300
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4263502
—
NJ
Enumeration date
05/07/2007
Last updated
08/22/2020
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