Organization
VAKRATUNDA INC
Active
Other names
BERGEN PHARMACY CLINTON AVE
Organization subpart
No
Provider details
NPI number
Authorized official
RASIK NAGRECHA (PRESIDENT)
(973) 273-1100
Entity
Organization
Contact information
Practice address
194 CLINTON AVE, NEWARK, NJ 07108-2809
(973) 273-1100
(973) 273-1288
Mailing address
23 CANOE BROOK DRIVE, LIVINGSTON, NJ 07039-3815
(973) 273-1100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RS00639700
NJ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0039021
—
NJ
05
—
0039039
—
NJ
01
—
3146239
OTHER ID NUMBER
—
Enumeration date
09/25/2006
Last updated
07/25/2008
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