Organization
UNION SQUARE PHARMACY
Active
Other names
MABEL'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SATYAPAL REDDY PAREDDY M.S.,R.PH (SUPERVISING PHARMACIST)
(908) 353-6900
Entity
Organization
Contact information
Practice address
809 ELIZABETH AVE, ELIZABETH, NJ 07201-2708
(908) 353-6900
(908) 353-5807
Mailing address
809 ELIZABETH AVE, ELIZABETH, NJ 07201-2708
(908) 353-6900
(908) 353-5807
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00554600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7561407
—
NJ
Enumeration date
02/01/2007
Last updated
10/23/2009
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