Individual
GIFTY ANSU SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ULTRA CARE PHARMACY, 557 BROADWAY, BAYONNE, NJ 07002
(201) 455-8200
(201) 455-8207
Mailing address
12 NUNZIE CT, STATEN ISLAND, NY 10303-2565
(929) 332-6053
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04346300
NJ
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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