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Organization

SL PHARMACY INC

Active
Other names
anthony's pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
PRAKASH MADDALI (AO)
(201) 441-8470
Entity
Organization

Contact information

Practice address
4300 PALISADE AVE, UNION CITY, NJ 07087-5022
(201) 863-0631
(201) 863-0637
Mailing address
4300 PALISADE AVE, UNION CITY, NJ 07087-5022
(201) 863-0631
(201) 863-0637

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00689500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0066281
NJ
01
3196032
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
04/27/2009
Last updated
01/23/2012
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