Organization
TESH M II LLC
Active
Other names
City Pharmacy of Nutley
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HISHAM GHARIB (PARTNER)
(973) 667-6677
Entity
Organization
Contact information
Practice address
215 FRANKLIN AVE, NUTLEY, NJ 07110-2708
(973) 667-6677
(973) 667-6675
Mailing address
215 FRANKLIN AVE, NUTLEY, NJ 07110-2708
(973) 667-6677
(973) 667-6675
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0713775
—
NJ
Enumeration date
06/03/2019
Last updated
04/29/2020
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