Organization
NUGENEREX PAZ1 LLC
Active
Other names
NuGenerex RS, NuGenerex RX
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY CRISCI (OFFICER)
(914) 527-1183
Entity
Organization
Contact information
Practice address
6641 E BAYWOOD AVE STE A1, MESA, AZ 85206-1723
(480) 830-8907
Mailing address
39 RUSSETT RD, SANDY HOOK, CT 06482-1432
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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