Organization
BALA GANAPATI INC
Active
Other names
Bergen Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RASIK NAGRECHA (PRESIDENT)
(973) 992-1951
Entity
Organization
Contact information
Practice address
39 E MOUNT PLEASANT AVE, LIVINGSTON, NJ 07039
(973) 926-9701
(973) 923-7721
Mailing address
23 CANOE BROOK DR, LIVINGSTON, NJ 07039-6121
(973) 992-1951
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049107
—
NJ
Enumeration date
03/24/2020
Last updated
11/03/2023
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