Organization
J&J ST MICHAELS PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINA FELICIANO (PHRMACIST IN CHARGE)
(973) 877-2799
Entity
Organization
Contact information
Practice address
268 MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102-2011
(973) 877-2799
(973) 877-2801
Mailing address
268 MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102-2011
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00644400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053198
—
NJ
Enumeration date
08/08/2006
Last updated
02/04/2008
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