Organization
NUGENEREX PAZ1 LLC
Active
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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