Organization
AAYUSH HEALTHCARE, INC.
Active
Other names
United Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
SIVA TALLAVAJHALA B.PHARM, MS (MR.)
(732) 423-1166
Entity
Organization
Contact information
Practice address
507 CENTRAL AVE, NEWARK, NJ 07107-1466
(973) 482-9300
(973) 482-9322
Mailing address
507 CENTRAL AVE, NEWARK, NJ 07107-1466
(973) 482-9300
(973) 482-9322
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RS00711300
NJ
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130118
PK
—
Enumeration date
03/12/2007
Last updated
11/17/2016
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