Organization
KWICKMED FARMACIA LLC
Active
Other names
KWICKMED FARMACIA
Organization subpart
No
Provider details
NPI number
Authorized official
PARAG RAITHATHA (OWNER)
(201) 758-8982
Entity
Organization
Contact information
Practice address
4121C NEW YORK AVE, UNION CITY, NJ 07087-4927
(201) 758-8982
(201) 758-8983
Mailing address
4121C NEW YORK AVE, UNION CITY, NJ 07087-4927
(973) 563-9521
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00701100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0242675
—
NJ
01
—
2122784
PK
—
Enumeration date
11/11/2009
Last updated
04/12/2024
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