Organization
PHARMACY 1 INC
Active
Other names
ST PETER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PETER MASSAK (MEMBER)
(973) 266-7877
Entity
Organization
Contact information
Practice address
439 CENTRAL AVE, EAST ORANGE, NJ 07018-2526
(973) 266-7877
(973) 266-7833
Mailing address
439 CENTRAL AVE, EAST ORANGE, NJ 07018-2526
(973) 266-7877
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RS00768000
NJ STATE
NJ
Enumeration date
11/28/2018
Last updated
05/13/2020
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