Organization
SHRI GANESHJI PHARMACY, INC.
Active
Other names
bergenline drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE TONG (OWNER)
(201) 867-0615
Entity
Organization
Contact information
Practice address
4923 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5510
(201) 867-0615
Mailing address
4923 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5510
(201) 867-0615
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00577200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8060100
—
NJ
Enumeration date
09/05/2006
Last updated
08/16/2024
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