Organization
SIDDHIPRIYA INC
Active
Other names
BERGEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DEVANG RASIK NAGRECHA (PRESIDENT)
(973) 632-4994
Entity
Organization
Contact information
Practice address
240 WILLIAMSON ST STE 101, ELIZABETH, NJ 07202-3671
(908) 994-9700
Mailing address
23 CANOE BROOK DR, LIVINGSTON, NJ 07039-6121
(973) 632-4994
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392065
—
NJ
Enumeration date
07/21/2020
Last updated
07/21/2020
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