Organization
BLOOMING PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANY MIKHAIL (PHARMACIST IN CHARGE)
(973) 742-0054
Entity
Organization
Contact information
Practice address
102 BROADWAY, PATERSON, NJ 07505-1107
(973) 742-0054
(973) 742-0074
Mailing address
102 BROADWAY, PATERSON, NJ 07505-1107
(973) 742-0054
(973) 742-0074
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00764600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177997
PK
—
Enumeration date
06/04/2018
Last updated
04/09/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us