Organization
SHREE SHAKTI INC.
Active
Other names
DeRosa Pharmacy and Home Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PURNIMA S. SHAH PHD, RPH (VICE PRESIDENT)
(973) 482-6753
Entity
Organization
Contact information
Practice address
570 BLOOMFIELD AVE, NEWARK, NJ 07107-1346
(973) 482-6753
(973) 482-0356
Mailing address
570 BLOOMFIELD AVE, NEWARK, NJ 07107-1346
(973) 482-6753
(973) 482-0356
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035360
—
NJ
05
—
3019705
—
NJ
05
—
4332504
—
NJ
Enumeration date
03/17/2021
Last updated
03/18/2021
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