Organization
SHRI LAKE SHORE PHARMACY LLC
Active
Other names
Lake Shore Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD ADEEL (OWNER)
(862) 701-5808
Entity
Organization
Contact information
Practice address
299 PARSIPPANY RD, PARSIPPANY, NJ 07054-5176
(862) 701-5808
(862) 701-5809
Mailing address
299 PARSIPPANY RD, PARSIPPANY, NJ 07054-5176
(862) 701-5808
(862) 701-5809
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00761500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176787
PK
—
Enumeration date
04/12/2018
Last updated
08/21/2024
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