Organization
519 SUMIRAJ CORP
Active
Other names
HARRIS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHETAN GANDHI (PHARMACIST)
(973) 482-4968
Entity
Organization
Contact information
Practice address
519 BROADWAY, NEWARK, NJ 07104-4132
(973) 482-4968
(973) 482-6100
Mailing address
519 BROADWAY, NEWARK, NJ 07104-4132
(973) 482-4968
(973) 482-6100
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00416900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139735
PK
—
Enumeration date
02/14/2007
Last updated
12/23/2013
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