Organization
GSC PHARMACY CORP
Active
Other names
Dittmars Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GHAZALA SHAHID CHOHAN RPH REGISTERED PHARM (PHARMACIST IN CHARGE OWNER)
(201) 339-0405
Entity
Organization
Contact information
Practice address
924 BROADWAY, BAYONNE, NJ 07002-3034
(201) 339-0405
Mailing address
924 BROADWAY, BAYONNE, NJ 07002-3034
(201) 339-0405
(201) 339-6861
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
4847
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4242505
—
NJ
Enumeration date
09/22/2006
Last updated
08/22/2020
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