Organization
DAMIANO PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA LUCIA DAMIANO PHARM D (PRESIDENT)
(973) 546-6700
Entity
Organization
Contact information
Practice address
270 PARKER AVE, CLIFTON, NJ 07011-1400
(973) 546-6700
(973) 546-8514
Mailing address
270 PARKER AVE, CLIFTON, NJ 07011-1400
(973) 546-6700
(973) 546-8514
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
28RS00258900
NJ
3336C0003X
Community/Retail Pharmacy
Primary
28RS00258900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2526107
MEDICAID DME
NJ
05
—
4269004
—
NJ
Enumeration date
11/13/2006
Last updated
03/19/2021
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