Organization
PAN AMERICAN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO IGNACIO ESTREMS R.PH. (PHARMACIST IN CHARGE)
(201) 861-7966
Entity
Organization
Contact information
Practice address
232 60TH ST, WEST NEW YORK, NJ 07093-2824
(201) 861-7966
(201) 868-7945
Mailing address
232 60TH ST, WEST NEW YORK, NJ 07093-2824
(201) 861-7966
(201) 868-7945
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00627800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RS00627800
STATE LICENSE NUMBER
NJ
01
—
3116731
NABP NUMBER
—
05
—
4268903
—
NJ
Enumeration date
10/19/2006
Last updated
03/07/2023
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