Organization
SIRI PHARMACY INC
Active
Other names
university pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SATYAVANI RAVURI (PRESIDENT)
(201) 880-5656
Entity
Organization
Contact information
Practice address
355 ESSEX ST, HACKENSACK, NJ 07601-1267
(201) 880-5656
(201) 880-5655
Mailing address
355 ESSEX ST, HACKENSACK, NJ 07601-1267
(201) 880-5656
(201) 880-5655
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00708100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3197402
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/15/2010
Last updated
11/16/2010
Update your record
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