Organization
ELMORA PHARMACY, INC.
Active
Other names
Elmora Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL L. HERTZ R.PH. (OWNER CHIEF PHARMACIST)
(908) 352-8808
Entity
Organization
Contact information
Practice address
162 ELMORA AVE, ELIZABETH, NJ 07202-1148
(908) 352-8808
(908) 352-5621
Mailing address
162 ELMORA AVE, ELIZABETH, NJ 07202-1148
(908) 352-8808
(908) 352-5621
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2526301
—
NJ
05
—
4243803
—
NJ
Enumeration date
12/19/2005
Last updated
07/18/2019
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