Organization
SANTA MARINA PHARMACY LLC
Active
Other names
Santa Marina Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HANI TADROS (OWNER)
(201) 271-1110
Entity
Organization
Contact information
Practice address
3196 KENNEDY BLVD, 2ND FLOOR, UNION CITY, NJ 07087-2436
(201) 271-1110
(201) 271-1120
Mailing address
3196 KENNEDY BLVD, 2ND FLOOR, UNION CITY, NJ 07087-2436
(201) 271-1110
(201) 271-1120
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00719500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3198771
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/04/2012
Last updated
07/05/2012
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