Organization
VB PHARMACY INC
Active
Other names
North Bergen Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASH MADDALI (PRESIDENT)
(973) 441-8470
Entity
Organization
Contact information
Practice address
7126 BERGENLINE AVE, NORTH BERGEN, NJ 07047-5415
(201) 868-6900
(201) 868-7127
Mailing address
7126 BERGENLINE AVE, NORTH BERGEN, NJ 07047-5415
(201) 868-6900
(201) 868-7127
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00699600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123909
PK
—
05
—
4361709
—
NJ
Enumeration date
08/03/2006
Last updated
06/16/2016
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