Organization
FENNY PHARMACY LLC
Active
Other names
FENNY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BADRINATH BOGGARAM RAMAMOHAN (PIC)
(201) 333-2223
Entity
Organization
Contact information
Practice address
129 NEWARK AVE STE 2, JERSEY CITY, NJ 07302-2811
(201) 333-2223
(201) 333-2224
Mailing address
129 NEWARK AVE, SUITE 2, JERSEY CITY, NJ 07302-2811
(201) 333-2223
(201) 333-2224
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
28RS00664300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123528
—
NJ
01
—
2151399
PK
—
Enumeration date
04/28/2015
Last updated
04/28/2015
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