Organization
GISELLE PHARMACY LLC
Active
Other names
Giselle Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR TADROS (PIC)
(201) 864-7100
Entity
Organization
Contact information
Practice address
3406 BERGENLINE AVE, UNION CITY, NJ 07087-3922
(201) 864-7100
(201) 864-7101
Mailing address
3406 BERGENLINE AVE, UNION CITY, NJ 07087-3922
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0101974
NJ
3336C0003X
Community/Retail Pharmacy
Primary
28RS00655200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101966
—
NJ
01
—
3193290
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/13/2006
Last updated
11/24/2008
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