Organization
PHARMACY OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT BRANDT RPH (OWNER)
(973) 677-0005
Entity
Organization
Contact information
Practice address
60 EVERGREEN PL, EAST ORANGE, NJ 07018-2106
(973) 677-0005
(973) 677-0033
Mailing address
60 EVERGREEN PL, EAST ORANGE, NJ 07018-2106
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28R00660300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101150
—
NJ
01
—
3193567
OTHER ID NUMBER
—
Enumeration date
05/11/2006
Last updated
06/26/2008
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