Organization
JERSEY APOTHECARY INC
Active
Other names
Jersey Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE TAN (PRESIDENT)
(973) 943-1231
Entity
Organization
Contact information
Practice address
286 CENTRAL AVE, JERSEY CITY, NJ 07307-3013
(201) 656-4392
(201) 420-8399
Mailing address
286 CENTRAL AVE, JERSEY CITY, NJ 07307-3013
(201) 656-4392
(201) 420-8399
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00632600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0414310
—
NJ
01
—
2143467
PK
—
Enumeration date
12/22/2005
Last updated
07/24/2014
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