Organization
REGAL PHARMACY LLC
Active
Other names
REGAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HETVI KHAMBHATI (OWNER)
(973) 350-0500
Entity
Organization
Contact information
Practice address
684 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3110
(973) 350-0500
(973) 350-5570
Mailing address
684 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3110
(973) 350-0500
(973) 350-5570
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00725800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0380334
—
NJ
01
—
2140031
PK
—
Enumeration date
04/21/2013
Last updated
12/28/2016
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