Organization
SUNRISE WELLNESS
Active
Other names
Town Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL GODHANI (PRESIDENT)
(201) 766-1900
Entity
Organization
Contact information
Practice address
4911 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5510
(201) 766-1900
(201) 766-1904
Mailing address
4911 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5510
(201) 766-1900
(201) 766-1904
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NJ
3336S0011X
Specialty Pharmacy
—
NJ
Other
Enumeration date
04/04/2013
Last updated
07/10/2020
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