Individual
MARIO H GERGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
PASSAIC COMMUNITY PHARMACY, 339 PASSAIC ST, PASSAIC, NJ 07055-5818
(973) 471-0160
Mailing address
8422 13TH AVE APT 2F, BROOKLYN, NY 11228-3339
(631) 526-3629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03898500
NJ
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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