Organization
PUJA PHARMACY LLC
Active
Other names
West Orange Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
UMESH PATEL (OWNER)
(973) 325-1020
Entity
Organization
Contact information
Practice address
310 MAIN ST, WEST ORANGE, NJ 07052-5628
(973) 325-1020
(862) 252-9450
Mailing address
310 MAIN ST, WEST ORANGE, NJ 07052-5628
(973) 325-1020
(862) 252-9450
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00724700
NJ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3199406
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/15/2013
Last updated
01/26/2024
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