Organization
MINA PHARMACY CORP
Active
Other names
ST MARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SAID MAKAR (OWNER AND PHARMACIST)
(201) 792-9881
Entity
Organization
Contact information
Practice address
875 BERGEN AVE, JERSEY CITY, NJ 07306-4405
(201) 792-9881
(201) 792-9882
Mailing address
875 BERGEN AVE, JERSEY CITY, NJ 07306-4405
(201) 792-9881
(201) 792-9882
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00626300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003310
—
NJ
01
—
2055241
PK
—
Enumeration date
04/03/2007
Last updated
07/10/2014
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