Organization
SAHARA MARKETING INC
Active
Other names
JACOBS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
KOFI YEBOAH (PRESIDENT)
(973) 353-0500
Entity
Organization
Contact information
Practice address
370 S ORANGE AVE, NEWARK, NJ 07103-1963
(973) 353-0500
(973) 353-0600
Mailing address
370 S ORANGE AVE, NEWARK, NJ 07103-1963
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00650600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071447
—
NJ
01
—
3144324
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2006
Last updated
08/04/2008
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