Organization
MEDI CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LINA DIAZ R.P. (MANAGER)
(973) 256-0144
Entity
Organization
Contact information
Practice address
993 MCBRIDE AVE, WEST PATERSON, NJ 07424-2534
(973) 256-0144
Mailing address
993 MCBRIDE AVE, WEST PATERSON, NJ 07424-2534
(973) 256-0144
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RS00615700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8903204
—
NJ
Enumeration date
01/11/2006
Last updated
08/22/2020
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