Organization
SPG PHARMACY INC
Active
Other names
ROSEVILLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. UMESH R PATEL R.PH (PRESIDENT)
(973) 484-1258
Entity
Organization
Contact information
Practice address
500 ORANGE ST, NEWARK, NJ 07107
(973) 484-1258
(973) 482-4080
Mailing address
500 ORANGE ST, NEWARK, NJ 07107
(973) 484-1258
(973) 482-4080
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00566700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7845502
—
NJ
Enumeration date
11/18/2006
Last updated
11/03/2008
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