Organization
SANFORD COMMUNITY PHARMACY LLC
Active
Other names
Sanford Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PARESH GANDHI (OWNER)
(646) 417-3844
Entity
Organization
Contact information
Practice address
1041 S ORANGE AVE, NEWARK, NJ 07106-1716
(973) 351-0099
(973) 351-9105
Mailing address
1 COMMANDERS CT, TOTOWA, NJ 07512-2197
(973) 351-0099
(973) 351-9105
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00624800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162252
PK
—
Enumeration date
11/26/2005
Last updated
01/20/2017
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