Organization
SV PHARMA INC
Active
Other names
Peckman's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHEER MALGIREDDY (PHARMACIST IN CHARGE)
(201) 433-1512
Entity
Organization
Contact information
Practice address
227 OCEAN AVE, JERSEY CITY, NJ 07305-2613
(201) 433-1512
(201) 433-1566
Mailing address
227 OCEAN AVE, JERSEY CITY, NJ 07305-2613
(201) 433-1512
(201) 433-1566
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
28RS00017400
NJ
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0264903
—
NJ
01
—
2128076
PK
—
Enumeration date
12/22/2005
Last updated
02/27/2017
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