Healthcare Provider Details
I. General information
NPI: 1295461911
Provider Name (Legal Business Name): SAFFRON PRIVATE LTD.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/26/2022
Last Update Date: 12/05/2023
Certification Date: 12/05/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
422 N WOOD AVE
LINDEN NJ
07036-4145
US
IV. Provider business mailing address
422 N WOOD AVE
LINDEN NJ
07036-4145
US
V. Phone/Fax
- Phone: 908-583-6665
- Fax:
- Phone: 908-583-6665
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHIEDOZIE
CHUKWUNPKE
Title or Position: PIC
Credential:
Phone: 908-583-6665