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Organization

DEVARIA LLC

Active
Other names
The galaxy drug store
Organization subpart
No

Provider details

NPI number
Authorized official
HARESH KHAMBHATI (OWNER)
(201) 453-0555
Entity
Organization

Contact information

Practice address
7000 KENNEDY BLVD E, M-7, GUTTENBERG, NJ 07093
(201) 453-0555
(201) 453-0550
Mailing address
7000 KENNEDY BLVD E, M-7, GUTTENBERG, NJ 07093
(201) 453-0555
(201) 453-0550

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RS00523900
NJ
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2145223
PK
Enumeration date
02/20/2007
Last updated
07/15/2021
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