Organization
PLH PHARMACO
Active
Other names
FARMACIA SAN JOSE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAUL LUCIO MAZON R.PH. (PHARMACIST)
(201) 864-1809
Entity
Organization
Contact information
Practice address
149 48TH ST, UNION CITY, NJ 07087-6428
(201) 864-1809
(201) 864-4077
Mailing address
149 48TH ST, UNION CITY, NJ 07087-6428
(201) 864-1809
(201) 864-4077
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RS00573600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7919603
—
NJ
Enumeration date
12/26/2006
Last updated
08/22/2020
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