Organization
LITTLE FALLS MEDCARE
Active
Other names
little falls pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENZO POLISE R.PH. (R.PH. IN CHARGE)
(702) 561-5628
Entity
Organization
Contact information
Practice address
75 NEWARK POMPTON TPKE, LITTLE FALLS, NJ 07424-1107
(973) 638-1561
(973) 638-1566
Mailing address
75 NEWARK POMPTON TPKE, LITTLE FALLS, NJ 07424-1107
(973) 638-1561
(973) 638-1566
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RS00711000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RS00711000
PHARMACY LICENSE NUMBER
NJ
Enumeration date
03/09/2011
Last updated
03/09/2011
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