Organization
JIRAAJ LLC
Active
Other names
West End Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY SHAH (MEMBER/PHCY OWNER)
(201) 438-2164
Entity
Organization
Contact information
Practice address
311 UNION AVE, RUTHERFORD, NJ 07070-1515
(201) 438-2164
(201) 438-5380
Mailing address
311 UNION AVE, RUTHERFORD, NJ 07070-1515
(201) 438-2164
(201) 438-5380
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS0064100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0302643
—
NJ
01
—
2133005
PK
—
Enumeration date
01/23/2007
Last updated
12/05/2016
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