Organization
SHREE YASH CORP
Active
Other names
Palisade Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
VIPUL H PATEL RPH (PRESIDENT PHARMACIST IN CHARGE)
(201) 222-9399
Entity
Organization
Contact information
Practice address
338 PALISADE AVE, PALISADE DRUGS, JERSEY CITY, NJ 07307-1753
(201) 222-9399
(201) 222-0255
Mailing address
338 PALISADE AVE, PALISADE DRUGS, JERSEY CITY, NJ 07307-1719
(201) 222-9399
(201) 222-0255
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
28RS00648700
NJ
333600000X
Pharmacy
Primary
28RS00648700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072117
—
NJ
Enumeration date
12/19/2006
Last updated
09/16/2010
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