Organization
PROGRESSIVE PHARMACY LLC
Active
Other names
progressive pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HECTOR ROCCO GIANCARLO MD (OWNER)
(201) 825-0660
Entity
Organization
Contact information
Practice address
85 HARRETON RD, ALLENDALE, NJ 07401-1317
(201) 785-0200
(201) 785-0208
Mailing address
85 HARRETON RD, ALLENDALE, NJ 07401-1317
(201) 785-0200
(201) 785-0208
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
28RS00700000
NJ
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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