J&j State Street Pharmacy INC

NPI #1306088455 in Hackensack, New Jersey

Provider Information

NPI Number
1306088455
Entity Type
Organization
Organization Name
J&j State Street Pharmacy INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Apr 2, 2009
Last Updated
Oct 27, 2010

Practice Location

Address
298 STATE ST
ZIP Code
07601-5515
Phone
(201) 820-3360

Authorized Official

Name
JAMES DEMICCO
Title
PHARMACIST IN CHARGE
Phone
(201) 981-1144

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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