Organization
SELMAR DRUG CO
Active
Other names
Center Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY BART CAGIN RPH (PRESIDENT)
(973) 748-8296
Entity
Organization
Contact information
Practice address
20 BROAD ST, BLOOMFIELD, NJ 07003
(973) 748-8296
(973) 566-9043
Mailing address
20 BROAD ST, CENTER DRUG STORE, BLOOMFIELD, NJ 07003
(973) 748-8296
(973) 566-9043
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RS00030200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4240201
—
NJ
Enumeration date
07/08/2006
Last updated
07/23/2013
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