Organization
BORAWALA LLC
Active
Other names
Main Street Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANUP BORAWALA (OWNER)
(732) 735-2691
Entity
Organization
Contact information
Practice address
881 MAIN ST, UNIT 4, SAYREVILLE, NJ 08872-1456
(732) 475-3311
(732) 475-3322
Mailing address
881 MAIN ST, UNIT 4, SAYREVILLE, NJ 08872-1456
(732) 475-3311
(732) 475-3322
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
28RS00755200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0614696
—
NJ
01
—
2168654
PK
—
Enumeration date
04/05/2017
Last updated
09/19/2025
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