Organization
BETHEL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEMOLA SALAMI (PIC)
(973) 391-0101
Entity
Organization
Contact information
Practice address
301 OSBORNE TER, NEWARK, NJ 07112-2153
(973) 391-0101
(973) 391-0107
Mailing address
301 OSBORNE TER, NEWARK, NJ 07112-2153
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00627600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018546
—
NJ
01
—
3145578
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/23/2007
Last updated
09/12/2007
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