Organization
NICOBELLA PHARMACY LLC
Active
Other names
Diamonds Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS ALMANZA (OWNER/OFFICER)
(732) 222-1299
Entity
Organization
Contact information
Practice address
444 OCEAN BLVD. N., LONG BRANCH, NJ 07740
(732) 222-1299
(732) 222-7884
Mailing address
444 OCEAN BLVD. N., LONG BRANCH, NJ 07740
(732) 222-1299
(732) 222-7884
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00412800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0893633
—
NJ
01
—
2057957
PK
—
Enumeration date
09/20/2006
Last updated
04/11/2023
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