Organization
WEST ORANGE PHARMACY INC
Active
Other names
WEST ORANGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD G STEFANELLI RPH (OWNER/PHARMAIST)
(973) 325-1020
Entity
Organization
Contact information
Practice address
443 MAIN ST, WEST ORANGE, NJ 07052-5741
(973) 325-1020
(973) 325-1567
Mailing address
443 MAIN ST, WEST ORANGE, NJ 07052-5741
(973) 325-1020
(973) 325-1567
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00242800
NJ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3116844
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
4252701
—
NJ
Enumeration date
12/29/2006
Last updated
06/16/2012
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