Organization
N G H I INC
Active
Other names
EDISON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NUNZIO GALLO RPH (OWNER)
(732) 985-5110
Entity
Organization
Contact information
Practice address
2303 WOODBRIDGE AVE, EDISON, NJ 08817-5599
(732) 985-5110
(732) 572-0985
Mailing address
2303 WOODBRIDGE AVE, EDISON, NJ 08817-5599
(732) 985-5110
(732) 572-0985
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00637300
NJ
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050741
—
NJ
01
—
2055683
PK
—
05
—
4276604
—
NJ
Enumeration date
09/20/2006
Last updated
12/06/2016
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