Organization
SHREE BHAVINI PHARMACY INC
Active
Other names
Sussman's Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
BINDESH K SHAH (PRESIDENT)
(973) 345-3991
Entity
Organization
Contact information
Practice address
422 10TH AVE, PATERSON, NJ 07514-1808
(973) 345-3991
(973) 345-0443
Mailing address
422 10TH AVE, PATERSON, NJ 07514-1808
(973) 345-3991
(973) 345-0443
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00681300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0179175
—
NJ
01
—
2123847
PK
—
Enumeration date
07/26/2006
Last updated
01/23/2019
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