Organization
VINLABA GREENVILLE PHARMACY INC
Active
Other names
VINLABA GREENVILLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GOPAL DARISIPUDI (OWNER PRESIDENT)
(201) 433-8002
Entity
Organization
Contact information
Practice address
1850 KENNEDY BLVD, JERSEY CITY, NJ 07305-2122
(201) 433-8002
(201) 433-4655
Mailing address
1850 KENNEDY BLVD, JERSEY CITY, NJ 07305-2122
(201) 433-8002
(201) 433-4655
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00453500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058010
PK
—
05
—
4424701
—
NJ
Enumeration date
12/13/2006
Last updated
05/04/2015
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