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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