Organization
SHREE SHAKTI INC.
Active
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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