Organization
KASP LLC
Active
Other names
NORTHGATE FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL PATEL RPH (PIC)
(856) 541-8242
Entity
Organization
Contact information
Practice address
433 N 7TH ST, CAMDEN, NJ 08102-2212
(856) 541-8242
(856) 541-6344
Mailing address
433 N 7TH ST, CAMDEN, NJ 08102-2212
(856) 541-8242
(856) 541-6344
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00655500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093675
—
NJ
01
—
2051985
PK
—
05
—
4985401
—
NJ
Enumeration date
02/15/2007
Last updated
03/06/2017
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