Organization
FARMACIA LATINA CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN W BLOOMFIELD (PHARMACIST-IN-CHARGE)
(201) 766-5526
Entity
Organization
Contact information
Practice address
216 48TH STREET, UNION CITY, NJ 07087
(201) 766-5526
(201) 766-5528
Mailing address
216 48TH STREET, UNION CITY, NJ 07087
(201) 766-5526
(201) 766-5528
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RS00710900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RS00710900
STATE PHARMACY LICENSE
NJ
Enumeration date
03/11/2011
Last updated
08/15/2014
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