Organization
BALAJI DRUGS INCORPORATED
Active
Other names
Main Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALYAN DANDU PHARMD (PHARMACIST IN CHARGE)
(732) 449-6157
Entity
Organization
Contact information
Practice address
1206 3RD AVE, SPRING LAKE, NJ 07762-1331
(732) 449-6157
(732) 449-1349
Mailing address
1206 3RD AVE, SPRING LAKE, NJ 07762-1331
(732) 449-6157
(732) 449-1349
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0126977
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126951
—
NJ
01
—
0126977
MEDICAID DME
NJ
Enumeration date
09/13/2017
Last updated
07/21/2022
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