St. Ann'S Pharmacy, Inc.
Organization Active NPI Pharmacist · South River, NJ
NPI 1336287465 · NPPES record last updated Jun 16, 2008
Key facts
- NPI
- 1336287465
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RS00531800 (NJ)
- Legal business name
- ST. ANN'S PHARMACY, INC.
- Practice address
- 54 Main St
South River, NJ 08882-1225 - Phone
- (732) 257-0069
- NPI assigned
- Feb 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Ashraf Basta
- Title
- Pharmacist
- Phone
- (732) 257-0069
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 28RS00531800 | NJ | Yes |
Addresses
Primary practice location
54 Main St
South River, NJ 08882-1225
Mailing address
54 Main St
South River, NJ 08882-1225
Phone (732) 257-0069
Other names
- South River Pharmacy
Other providers in South River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.