Organization
ST. MINAS PHARMACY INC.
Active
Other names
Briarmill Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINA GENDY PHARM.D (PARTNER/SECRETARY)
(732) 840-1800
Entity
Organization
Contact information
Practice address
1820 LANES MILL RD, BRICK, NJ 08724-1483
(732) 840-1800
(732) 840-5847
Mailing address
1820 LANES MILL RD, BRICK, NJ 08724-1483
(732) 840-1800
(732) 840-5847
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00488900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3129031
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/31/2006
Last updated
01/06/2012
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