Organization
GUPTA PHARMACY INC
Active
Other names
PASTOR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LAYAK GUPTA RPH (PIC)
(201) 568-9378
Entity
Organization
Contact information
Practice address
543 GRAND AVE, ENGLEWOOD, NJ 07631-4934
(201) 568-9378
(201) 568-9226
Mailing address
543 GRAND AVE, ENGLEWOOD, NJ 07631-4934
(201) 568-9378
(201) 568-9226
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00354100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2057944
PK
—
05
—
4355407
—
NJ
Enumeration date
06/28/2005
Last updated
03/23/2015
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