Organization
ESSGEE PHILLIPSBURG CORP
Active
Other names
Phillipsburg Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SREEDHAR VAJINEPALLI (PRESIDENT)
(443) 528-1008
Entity
Organization
Contact information
Practice address
96 BALTIMORE ST, PHILLIPSBURG, NJ 08865-1836
(908) 454-4352
(908) 454-4377
Mailing address
96 BALTIMORE ST, PHILLIPSBURG, NJ 08865-1836
(908) 454-4352
(908) 454-4377
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00675900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0321711
—
NJ
01
—
3103520
NCPDP
NJ
Enumeration date
07/16/2006
Last updated
09/25/2014
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