Organization
UNION AVENUE HEALTHCARE INC
Active
Other names
UNION AVENUE LEGEND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JATIN PATEL (OWNER)
(732) 356-3113
Entity
Organization
Contact information
Practice address
433 W UNION AVE, BOUND BROOK, NJ 08805-1220
(732) 356-3113
(732) 356-6691
Mailing address
433 W UNION AVE, BOUND BROOK, NJ 08805-1220
(732) 356-3113
(732) 356-6691
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00584200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054957
PK
—
05
—
8385301
—
NJ
Enumeration date
07/22/2006
Last updated
10/23/2014
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