Organization
LA NUEVA MERCEDES INC.
Active
Other names
La Nueva Mercedes Pharmacy -Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BLANCA GONZALEZ (BILLER/MANAGER)
(973) 279-2800
Entity
Organization
Contact information
Practice address
500 RIVER ST, PATERSON, NJ 07524-1903
(973) 279-2800
(973) 279-2197
Mailing address
500 RIVER ST, PATERSON, NJ 07524-1903
(973) 279-2800
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00328400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2821907
—
NJ
Enumeration date
09/26/2006
Last updated
05/18/2010
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