Organization
GALLERY PHARMACIES INC
Active
Other names
GALLERY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GAURAV MAHATMA (PHARMACIST IN CHARGE)
(973) 904-3404
Entity
Organization
Contact information
Practice address
141 WEST BROADWAY, PATERSON, NJ 07522
(973) 904-3404
(973) 720-8411
Mailing address
141 WEST BROADWAY, PATERSON, NJ 07522
(973) 904-3404
(973) 720-8411
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00683100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3195408
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/06/2008
Last updated
02/12/2010
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