Organization
SAINT MINA & SAINT MOSES PHARMACY
Active
Other names
Well Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NADY AZER (OWNER/PHARMACIST)
(201) 455-4785
Entity
Organization
Contact information
Practice address
779 BROADWAY, BAYONNE, NJ 07002-3943
(201) 455-8600
(201) 455-8665
Mailing address
779 BROADWAY, BAYONNE, NJ 07002-3943
(201) 455-8600
(201) 455-8665
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00747200
NJ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158617
PK
—
Enumeration date
02/29/2016
Last updated
05/25/2016
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