Organization
BELLA VISTA PHARMACY INC
Active
Other names
My Friend's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NIMESH PATEL (PRESIDENT)
(973) 470-0556
Entity
Organization
Contact information
Practice address
916 MAIN AVE, PASSAIC, NJ 07055-8545
(973) 470-0556
(973) 470-0593
Mailing address
916 MAIN AVE, PASSAIC, NJ 07055-8545
(973) 470-0556
(973) 470-0593
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS642400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132549
PK
—
Enumeration date
08/18/2006
Last updated
07/27/2016
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