Organization
SLC PHARMACY INC
Active
Other names
Courthouse Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO GERGES RPH (PHARMACIST IN CHARGE OWNER)
(201) 653-4093
Entity
Organization
Contact information
Practice address
570 NEWARK AVENUE, JERSEY CITY, NJ 07306
(201) 653-4093
(201) 222-1901
Mailing address
570 NEWARK AVENUE, JERSEY CITY, NJ 07306
(201) 653-4093
(201) 222-1901
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00672800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0894885
—
NJ
01
—
3101691
NABP
—
Enumeration date
09/01/2006
Last updated
06/03/2023
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