Organization
EASYPHARMACY INC.
Active
Other names
EASY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRAN PARVATRAO R.PH. (PRES & CEO)
(908) 722-7002
Entity
Organization
Contact information
Practice address
931 KENNEDY BLVD, MANVILLE, NJ 08835-2007
(908) 722-7002
(908) 722-7262
Mailing address
931 KENNEDY BLVD, MANVILLE, NJ 08835-2007
(908) 722-7002
(908) 722-7262
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RS615100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8906700
—
NJ
05
—
8906718
—
NJ
Enumeration date
09/20/2005
Last updated
05/07/2015
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