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Organization

SLM PHARMACY INC

Active
Other names
MASTROLIA PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW N HANNA (PRESIDENT)
(733) 710-7673
Entity
Organization

Contact information

Practice address
325 7TH ST, JERSEY CITY, NJ 07302-1802
(201) 653-8378
(201) 653-9909
Mailing address
325 7TH ST, JERSEY CITY, NJ 07302-1802
(201) 653-8378
(201) 653-9909

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
28RS00672900
NJ
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8871817
NJ
Enumeration date
08/21/2006
Last updated
06/13/2023
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