Organization
JR FRIENDLY PHARMACY LLC
Active
Other names
Friendly Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES POTTACKAL GEORGE (OWNER)
(973) 985-8432
Entity
Organization
Contact information
Practice address
570 RARITAN RD, ROSELLE, NJ 07203-2446
(908) 587-0020
(908) 587-1002
Mailing address
570 RARITAN RD, ROSELLE, NJ 07203-2446
(908) 587-0020
(908) 587-1002
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00717800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0432881
—
NJ
01
—
2133106
PK
—
01
—
3198391
NCPDP (NABP)
NJ
Enumeration date
12/15/2011
Last updated
01/03/2024
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