Organization
PRUDENTIAL HEALTHCARE
Active
Other names
PINTO'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAYA BARBARIA (OWNER)
(201) 653-3154
Entity
Organization
Contact information
Practice address
161 PALISADE AVE, JERSEY CITY, NJ 07306-1146
(201) 653-3154
(201) 653-7576
Mailing address
161 PALISADE AVE, JERSEY CITY, NJ 07306-1146
(201) 653-3154
(201) 653-7576
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
28RS00707500
NJ
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134634
PK
—
Enumeration date
06/23/2008
Last updated
04/23/2015
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