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Organization

SIDDHI GANESHA INC

Active
Other names
bergen pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DEVANG RASIK NAGRECHA (PRESIDENT)
(973) 632-4994
Entity
Organization

Contact information

Practice address
655 E JERSEY ST, ELIZABETH, NJ 07206-1259
(908) 994-9300
Mailing address
23 CANOE BROOK DR, LIVINGSTON, NJ 07039-6121
(973) 632-4994

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0642291
NJ
Enumeration date
07/23/2020
Last updated
07/23/2020
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