Organization
MICRIMAR INC
Active
Other names
PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CARL VIOLA RPH (PRESIDENT)
(856) 365-3400
Entity
Organization
Contact information
Practice address
3 COOPER PLZ, SUITE 111, CAMDEN, NJ 08103-1438
(856) 541-1300
(610) 668-1077
Mailing address
730 BRYN MAWR AVE, NARBERTH, PA 19072-1402
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
28RS00391600
NJ
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3128495
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4381904
—
NJ
05
—
4989007
—
NJ
Enumeration date
11/03/2006
Last updated
09/11/2025
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