Organization
BALA GANAPATI INC
Active
Parent organization
BALA GANAPATI INC
Other names
Bergen Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
BALA GANAPATI INC
Authorized official
MR. RASIK M NAGRECHA (PRESIDENT)
(973) 992-1951
Entity
Organization
Contact information
Practice address
39 E MOUNT PLEASANT AVE, LIVINGSTON, NJ 07039
(973) 926-9701
(973) 926-9603
Mailing address
23 CANOE BROOK DR, LIVINGSTON, NJ 07039-6121
(973) 992-1951
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
28RS00641800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049093
—
NJ
Enumeration date
09/13/2017
Last updated
11/03/2023
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