Organization
SHREE SHAKTI INC.
Active
Other names
DeRosa Pharmacy And Home HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PURNIMA SHAH PHD, RPH (OWNER)
(973) 482-6753
Entity
Organization
Contact information
Practice address
570 BLOOMFIELD AVE, NEWARK, NJ 07107-1346
(973) 482-6753
(973) 482-0356
Mailing address
570 BLOOMFIELD AVE, NEWARK, NJ 07107-1346
(973) 482-6753
(973) 482-0356
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0003X
Community/Retail Pharmacy
28RS00312200
NJ
3336C0004X
Compounding Pharmacy
28RS00312200
NJ
3336S0011X
Specialty Pharmacy
28RS00312200
NJ
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035360
—
NJ
05
—
3019705
—
NJ
01
—
3103239
NABP
NJ
05
—
4332504
—
NJ
Enumeration date
01/25/2007
Last updated
11/28/2007
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