Organization
BAYONNE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LOUIS BOLOGH (PRESIDENT)
(201) 304-1854
Entity
Organization
Contact information
Practice address
455 BROADWAY, BAYONNE, NJ 07002-7112
(201) 339-1992
(201) 858-1714
Mailing address
455 BROADWAY, BAYONNE, NJ 07002-7112
(201) 339-1992
(201) 858-1714
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7195613
—
NJ
Enumeration date
09/13/2017
Last updated
07/21/2022
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