Organization
ST KEROLLOS PHARMACY INC.
Active
Other names
Galaxy Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MARTINEZ (PRESIDENT)
(732) 339-2508
Entity
Organization
Contact information
Practice address
220 NEWARK AVE, JERSEY CITY, NJ 07302-2754
(201) 984-0566
(201) 984-2102
Mailing address
220 NEWARK AVE, JERSEY CITY, NJ 07302-2754
(201) 984-0566
(201) 984-2102
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RS00783600
STATE LICENSE
NJ
Enumeration date
04/12/2021
Last updated
05/31/2024
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