Organization
EL SHADDAI PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA S DANQUAH RPH (PHARMACIST)
(845) 537-0399
Entity
Organization
Contact information
Practice address
18 BLOOMFIELD AVE, NEWARK, NJ 07104-2502
(973) 732-6203
(973) 732-6204
Mailing address
20 PEACOCK CIR, WASHINGTONVILLE, NY 10992-1708
(739) 732-6203
(973) 732-6204
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0488712
—
NJ
Enumeration date
06/18/2013
Last updated
11/13/2020
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