Organization
MAIN PHARMACY OF BOONTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FAUST CANTALUPPI PHARMACIST (PRESIDENT)
(973) 334-0519
Entity
Organization
Contact information
Practice address
203 MAIN ST, BOONTON, NJ 07005-1749
(973) 334-0519
(973) 334-9390
Mailing address
203 MAIN ST, BOONTON, NJ 07005-1749
(973) 334-0519
(973) 334-9390
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RS00460100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4987900
—
NJ
Enumeration date
02/20/2007
Last updated
04/16/2021
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