Organization
SRI SATYA SAI INC
Active
Other names
Hamilton Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAGHUNATH REDDY BHAVANAM B.PHARMACY (PHARMACIST)
(609) 393-1775
Entity
Organization
Contact information
Practice address
533 HAMILTON AVE, TRENTON, NJ 08609-2625
(609) 393-1776
(609) 393-4426
Mailing address
533 HAMILTON AVE, TRENTON, NJ 08609-2625
(609) 393-1776
(609) 393-4426
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00650400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073717
DME PROVIDER NUBER
NJ
05
—
0073725
—
NJ
Enumeration date
01/20/2007
Last updated
09/17/2010
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