Organization
DIAMOND BRIDGE PHARMACY LLC
Active
Other names
Melcons Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ARCHIT PATEL (SOLE MEMBER)
(973) 722-6664
Entity
Organization
Contact information
Practice address
293 LAFAYETTE AVE STE 100, HAWTHORNE, NJ 07506-2033
(973) 427-1234
(973) 427-6624
Mailing address
293 LAFAYETTE AVE STE 100, HAWTHORNE, NJ 07506-2033
(973) 427-1234
(973) 427-6624
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00372200
NJ
Other
Enumeration date
11/16/2006
Last updated
01/09/2025
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