Organization
JASVIL LLC
Active
Other names
Jasvil Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PASCHAL IBEKWE (PHARMACIST)
(862) 224-1339
Entity
Organization
Contact information
Practice address
9 MAIN ST, ORANGE, NJ 07050-4014
(973) 675-7757
(973) 675-7771
Mailing address
9 MAIN ST, ORANGE, NJ 07050-4014
(973) 675-7757
(973) 675-7771
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00533800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154357
PK
—
Enumeration date
09/30/2015
Last updated
09/30/2015
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