Organization
DURHAM PHARMACY LLC
Active
Other names
DURHAM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY GOSWAMI (OWNER)
(908) 548-8224
Entity
Organization
Contact information
Practice address
124 DURHAM AVE, SOUTH PLAINFIELD, NJ 07080-2528
(908) 548-8224
(908) 205-0060
Mailing address
124 DURHAM AVE, SOUTH PLAINFIELD, NJ 07080-2528
(908) 548-8224
(908) 205-0060
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00744900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153149
PK
—
Enumeration date
10/23/2015
Last updated
10/04/2016
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