Organization
AMETHYST PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FLORENCE WILCOX (PRESIDENT)
(201) 222-5222
Entity
Organization
Contact information
Practice address
550 NEWARK AVE, JERSEY CITY, NJ 07306-1326
(201) 222-5222
(201) 792-7911
Mailing address
550 NEWARK AVE, JERSEY CITY, NJ 07306-1326
(201) 222-5222
(201) 792-7911
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RS00481800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3134741
NABP #
NJ
05
—
5613507
—
NJ
Enumeration date
08/31/2006
Last updated
08/22/2020
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