Organization
WINTERGREEN PHARMACY CORPORATION
Active
Other names
WESTMINSTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ARSHAD MAHMUD (PHCY MGR)
(908) 352-7111
Entity
Organization
Contact information
Practice address
577 N BROAD ST, ELIZABETH, NJ 07208-3354
(908) 352-7111
(908) 352-2873
Mailing address
577 N BROAD ST, ELIZABETH, NJ 07208-3354
(908) 352-7111
(908) 352-2873
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00629000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013650
—
NJ
01
—
3145706
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/05/2006
Last updated
08/15/2014
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