Organization
TRANQUIL PHARM INC
Active
Other names
PALACE DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
GAYATRI R ADUSUMILLI (PIC)
(201) 432-3300
Entity
Organization
Contact information
Practice address
172 NEWARK AVE, JERSEY CITY, NJ 07302-2898
(201) 432-3300
(201) 432-1317
Mailing address
172 NEWARK AVE, JERSEY CITY, NJ 07302-2898
(201) 432-3300
(201) 432-1317
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS0067600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0324051
—
NJ
01
—
3101766
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/03/2007
Last updated
03/21/2013
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