Organization
ST PHILOPATEER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAEL NABIL ISAAC (OWNER)
(718) 210-6113
Entity
Organization
Contact information
Practice address
54 MAIN ST, SOUTH RIVER, NJ 08882-1225
(732) 257-0069
(732) 257-3250
Mailing address
54 MAIN ST, SOUTH RIVER, NJ 08882-1225
(718) 210-6113
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
02/06/2025
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