Organization
PB PHARMACY
Active
Other names
Cortese Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMIT PATEL (OWNER)
(732) 688-6160
Entity
Organization
Contact information
Practice address
222 UNION AVENUE, PATERSON, NJ 07502
(973) 942-7329
(973) 942-4647
Mailing address
222 UNION AVENUE, PATERSON, NJ 07502
(973) 942-7329
(973) 942-4647
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00395700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054301
PK
—
05
—
3060209
—
NJ
05
—
4299809
—
NJ
Enumeration date
07/15/2006
Last updated
03/11/2020
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