Organization
CENTURY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN DIPISA (PHARMACIST)
(201) 261-6479
Entity
Organization
Contact information
Practice address
37 W CENTURY RD, SUITE 113, PARAMUS, NJ 07652-1409
(201) 261-6479
(201) 261-9479
Mailing address
37 W CENTURY RD, SUITE 113, PARAMUS, NJ 07652-1409
(201) 261-6479
(201) 261-9479
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
28RS00720200
NJ
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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