Organization
SVI PHARMA
Active
Other names
Ideal Marketplace Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAMASWAMY GUMMADI RPH (OWNER IDEAL MARKETPLACE PHARMACY)
(973) 928-4576
Entity
Organization
Contact information
Practice address
85 ACKERMAN AVE, CLIFTON, NJ 07011-1501
(973) 928-3400
(973) 928-4010
Mailing address
85 ACKERMAN AVE, CLIFTON, NJ 07011-1501
(973) 928-3400
(973) 928-4010
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00756600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169828
PK
—
Enumeration date
06/16/2017
Last updated
07/27/2018
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