Organization
ANGELOS PHARMACEUTICAL SERVICES, INC.
Active
Other names
angelo pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS SUAREZ RPH (PRESIDENT)
(973) 589-6530
Entity
Organization
Contact information
Practice address
492 FERRY ST, NEWARK, NJ 07105-3925
(973) 589-6530
(973) 589-4528
Mailing address
492 FERRY ST, NEWARK, NJ 07105-3925
(973) 589-6530
(973) 589-4528
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
28RS00646800
NJ
333600000X
Pharmacy
Primary
28RS00646800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066320
—
NJ
01
—
0066338
MEDICAID DME
NJ
01
—
3101398
NABP
NJ
Enumeration date
10/05/2005
Last updated
02/18/2014
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