Organization
PALMYRA PHARMACY LLC
Active
Other names
Palmyra Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JITENKUMAR P NATHANI (PRESIDENT)
(856) 786-1615
Entity
Organization
Contact information
Practice address
1 E BROAD ST, PALMYRA, NJ 08065-1604
(856) 786-1615
(856) 786-2317
Mailing address
1 E BROAD ST, PALMYRA, NJ 08065-1604
(856) 786-1615
(856) 786-2317
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00720700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0316229
—
NJ
01
—
2136832
PK
—
Enumeration date
08/27/2012
Last updated
08/18/2020
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