Organization
ST MINA PHARMACEUTICAL LLC
Active
Other names
university pharmacy and surgical
Organization subpart
No
Provider details
NPI number
Authorized official
AHAB AYAD (PHARMACIST IN CHARGE)
(732) 247-2900
Entity
Organization
Contact information
Practice address
303 GEORGE ST, NEW BRUNSWICK, NJ 08901-2020
(732) 247-2900
(732) 247-2902
Mailing address
303 GEORGE ST, NEW BRUNSWICK, NJ 08901-2020
(732) 247-2900
(732) 247-2902
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00705900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126108
PK
—
Enumeration date
07/16/2010
Last updated
02/15/2017
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