Organization
BILLSTRA PHARMACY LLC
Active
Other names
Billstra Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PARESH GANDHI (MANAGER)
(973) 279-2200
Entity
Organization
Contact information
Practice address
608 21ST AVE, PATERSON, NJ 07513-1261
(973) 279-2200
(973) 279-4933
Mailing address
608 21ST AVE, PATERSON, NJ 07513-1261
(973) 279-2200
(973) 279-4933
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00659200
NJ
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126841
PK
—
Enumeration date
11/30/2006
Last updated
03/24/2017
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