Organization
BALAJI DRUGS INCORPORATED
Active
Other names
MAIN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KALYAN DANDU PHARM D RPH (PHARMACIST IN CHARGE)
(732) 491-3367
Entity
Organization
Contact information
Practice address
1206 3RD AVE, SPRING LAKE, NJ 07762-1331
(732) 449-6157
(732) 449-1349
Mailing address
1206 3RD AVE, SPRING LAKE, NJ 07762-1331
(732) 449-6157
(732) 449-1349
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00666800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126951
—
NJ
01
—
2056507
PK
—
Enumeration date
06/26/2006
Last updated
12/01/2016
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