Organization
SAI VENKATA INC
Active
Other names
CRESSKILL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SREELATHA VATTIMILLI (PRESIDENT)
(201) 568-4737
Entity
Organization
Contact information
Practice address
2 UNION AVE, CRESSKILL, NJ 07626-2125
(201) 568-4737
(201) 568-0908
Mailing address
2 UNION AVE, CRESSKILL, NJ 07626-2125
(201) 568-4737
(201) 568-0908
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00687400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0196835
—
NJ
01
—
2053226
PK
—
Enumeration date
08/10/2006
Last updated
12/06/2016
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