Organization
ELIZABETH CHEMISTS INC
Active
Other names
COLTON'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VENUGOPAL GHANTA VENKATA (OWNER/PHARMACIST)
(908) 353-6653
Entity
Organization
Contact information
Practice address
851 ELIZABETH AVE, ELIZABETH, NJ 07201-2755
(908) 353-6653
(908) 353-7340
Mailing address
851 ELIZABETH AVE, ELIZABETH, NJ 07201-2755
(908) 353-6653
(908) 353-7340
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00693300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4323904
—
NJ
Enumeration date
02/02/2007
Last updated
07/14/2009
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