Organization
SANTA MARIA PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINA AZER PHARMD (PRESIDENT & PHARMACIST IN CHARGE)
(732) 251-3971
Entity
Organization
Contact information
Practice address
432 HALL AVE, PERTH AMBOY, NJ 08861-2515
(732) 442-0163
(732) 442-4256
Mailing address
432 HALL AVE, PERTH AMBOY, NJ 08861-2515
(732) 442-0163
(732) 442-4256
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00677200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3114155
OTHER ID NUMBER
—
05
—
4275403
—
NJ
Enumeration date
12/01/2006
Last updated
07/22/2009
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