Organization
AMBITA CORPORATION
Active
Other names
GREEN CROSS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAJ GANDHI (VP)
(973) 473-3727
Entity
Organization
Contact information
Practice address
120 MARKET ST, PASSAIC, NJ 07055-7625
(973) 473-3727
(973) 473-8003
Mailing address
120 MARKET ST, PASSAIC, NJ 07055-7625
(973) 473-3727
(973) 473-8003
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00475100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2052539
PK
—
05
—
5374804
—
NJ
Enumeration date
02/14/2007
Last updated
12/08/2016
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