Healthcare Provider Details

I. General information

NPI: 1558698936
Provider Name (Legal Business Name): SATYAM PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2009
Last Update Date: 06/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 HOWARD BLVD UNIT F-1
MOUNT ARLINGTON NJ
07856-2314
US

IV. Provider business mailing address

181 HOWARD BLVD UNIT F-1
MOUNT ARLINGTON NJ
07856-2314
US

V. Phone/Fax

Practice location:
  • Phone: 973-601-3617
  • Fax: 973-601-3618
Mailing address:
  • Phone: 973-601-3617
  • Fax: 973-601-3618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00697600
License Number StateNJ

VIII. Authorized Official

Name: AMUL PATEL
Title or Position: PRESIDENT
Credential:
Phone: 973-601-3617