Organization
VIRAJ INC
Active
Other names
baywood pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAYKUMAR M PATEL (CO-OWNER/SECRETARY/RPH IN CHARGE)
(732) 477-0600
Entity
Organization
Contact information
Practice address
336 DRUM POINT RD, BRICK, NJ 08723-6840
(732) 477-0600
(732) 477-4485
Mailing address
336 DRUM POINT RD, BRICK, NJ 08723-6840
(732) 477-0600
(732) 477-4485
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00442600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4416708
—
NJ
Enumeration date
08/04/2006
Last updated
09/08/2014
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