Organization
ROSELLE CENTER RITA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MALAV D KANUGA M.PHARM (OWNER/PHARMACIST)
(732) 668-2835
Entity
Organization
Contact information
Practice address
570 RARITAN RD, ROSELLE, NJ 07203-2446
(908) 245-4600
Mailing address
200 CHESTNUT ST, P.O.BOX 167, ROSELLE PARK, NJ 07204-2263
(732) 668-2835
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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