Organization
SVTC PHARMA INC
Active
Other names
TOWN AND COUNTRY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PURNACHANDRA RAO AKKINENI (PRESIDENT)
(201) 652-0013
Entity
Organization
Contact information
Practice address
60 E RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3810
(201) 652-0013
(201) 652-0020
Mailing address
60 E RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3810
(201) 652-0013
(201) 652-0020
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00589300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0282481
—
NJ
01
—
3100156
NABP NUMBER
NJ
Enumeration date
12/04/2006
Last updated
01/04/2014
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