Organization
PRANAY INC
Active
Other names
AMETHYST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL MOORJANI (PRESIDENT)
(210) 222-5222
Entity
Organization
Contact information
Practice address
550 NEWARK AVE, STE 101, JERSEY CITY, NJ 07306-1326
(201) 222-5222
(201) 792-7911
Mailing address
550 NEWARK AVE, STE 101, JERSEY CITY, NJ 07306-1326
(201) 222-5222
(201) 792-7911
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00678600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3134741
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/12/2006
Last updated
06/09/2009
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