Organization
FAIR RIDGE PHARMACY INC
Active
Other names
FAIR RIDGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG NEGRINI (OWNER PRESIDENT)
(201) 943-0008
Entity
Organization
Contact information
Practice address
273 BERGEN BLVD, FAIRVIEW, NJ 07022-1323
(201) 943-0008
(201) 943-5800
Mailing address
273 BERGEN BLVD, FAIRVIEW, NJ 07022-1323
(201) 943-0008
(201) 943-5800
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00597900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054313
PK
—
05
—
8892504
—
NJ
Enumeration date
09/20/2006
Last updated
10/09/2013
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