Organization
BALA GANAPATI INC
Active
Other names
BERGEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RASIK NAGRECHA (PRESIDENT)
(073) 926-9701
Entity
Organization
Contact information
Practice address
39 E MOUNT PLEASANT AVE, LIVINGSTON, NJ 07039-2027
(973) 926-9701
(973) 923-7721
Mailing address
23 CANOE BROOK DRIVE, LIVINGSTON, NJ 07039-3815
(973) 926-9701
(973) 923-7721
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RS00641800
NJ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049093
—
NJ
05
—
0049107
—
NJ
01
—
3192185
OTHER ID NUMBER
—
Enumeration date
09/25/2006
Last updated
11/03/2023
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