Organization
YAMNA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANKUR BAROT PHARMACIST (OWNER)
(973) 926-4100
Entity
Organization
Contact information
Practice address
1069 BERGEN ST, NEWARK, NJ 07112
(973) 926-4100
(973) 926-9650
Mailing address
1069 BERGEN ST, NEWARK, NJ 07112-2039
(973) 926-4100
(973) 926-9650
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
28RS00419200
NJ
3336C0003X
Community/Retail Pharmacy
Primary
28RS00419200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0566659
—
NJ
05
—
4398807
—
NJ
Enumeration date
01/07/2007
Last updated
07/23/2018
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