Organization
WASIM CORPORATION
Active
Other names
STAR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NICKOLAS ALMEIDA MARTINS (OWNER)
(732) 777-1717
Entity
Organization
Contact information
Practice address
4 BRUNSWICK AVE, EDISON, NJ 08817-2500
(732) 777-1717
(732) 777-1449
Mailing address
4 BRUNSWICK AVE, EDISON, NJ 08817-2500
(732) 777-1717
(732) 777-1449
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00520900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0603813
—
NJ
01
—
3137280
NABP (NCPDP)
—
Enumeration date
01/08/2007
Last updated
12/11/2024
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