Organization
ELMORA PHARMACY, INC.
Active
Other names
Elmora Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN HERTZ (STORE MANAGER)
(908) 352-8808
Entity
Organization
Contact information
Practice address
162 ELMORA AVE, ELIZABETH, NJ 07202-1148
(908) 352-8808
(908) 352-5621
Mailing address
162 ELMORA AVE, ELIZABETH, NJ 07202-1148
(908) 352-8808
(908) 352-5621
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2526301
—
NJ
Enumeration date
09/13/2017
Last updated
07/21/2022
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