Organization
SG HEALTH
Active
Other names
VIVA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SEDEF GULSAN (OWNER/PHARMACIST)
(267) 980-9444
Entity
Organization
Contact information
Practice address
503 S OLDEN AVE, TRENTON, NJ 08629-2102
(609) 337-7152
(609) 337-7153
Mailing address
503 S OLDEN AVE, TRENTON, NJ 08629-2102
(609) 337-7152
(609) 337-7153
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RS00747700
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158779
PK
—
Enumeration date
12/29/2015
Last updated
03/17/2016
About Stedi
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