Organization
SHREE GANESH PHARMACY LLC
Active
Other names
Pharmacy 1st and Sugrical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
JIGNA PATEL (MEMBER)
(979) 471-9100
Entity
Organization
Contact information
Practice address
625 MAIN AVE, PASSAIC, NJ 07055-4952
(973) 471-9100
(973) 471-9900
Mailing address
625 MAIN AVE, PASSAIC, NJ 07055-4952
(973) 471-9100
(973) 471-9900
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00734000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0482072
—
NJ
01
—
2144574
PK
—
Enumeration date
07/02/2014
Last updated
02/28/2023
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