Organization
GAURI PHARMACY INC
Active
Other names
SOUTH BROAD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
UMESH PATEL (VP/STAFF RPH)
(201) 887-4405
Entity
Organization
Contact information
Practice address
530 WESTFIELD AVE FL 1, ELIZABETH, NJ 07208-1623
(908) 469-4061
(908) 469-4063
Mailing address
82 OLIVER RD, PARAMUS, NJ 07652-3729
(201) 887-4405
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00709800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0279293
—
NJ
01
—
3197591
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/19/2011
Last updated
09/01/2022
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