Organization
EMPIRE SPECIALTY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD SHTINDLER (CEO)
(201) 758-7800
Entity
Organization
Contact information
Practice address
6509 BERGENLINE AVE, WEST NEW YORK, NJ 07063
(201) 758-7800
Mailing address
6509 BERGENLINE AVE, WEST NEW YORK, NJ 07093
(201) 758-7800
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
28RS00716000
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0285889
—
NJ
Enumeration date
09/26/2017
Last updated
09/26/2017
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