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Organization

VENCER CARE PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER SHAH (AUTH MEMBER)
(908) 469-2221
Entity
Organization

Contact information

Practice address
570 N BROAD ST, SUITE-L, ELIZABETH, NJ 07208-3314
(908) 469-2221
Mailing address
570 N BROAD ST, SUITE-L, ELIZABETH, NJ 07208-3314

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
28RS00733200
NJ

Other

Enumeration date
05/20/2014
Last updated
09/15/2015
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