=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437717261
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MARIA DRUGS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/05/2019
-----------------------------------------------------
Last Update Date | 05/21/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 213 W SAINT GEORGES AVE
-----------------------------------------------------
City | LINDEN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07036-3948
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-925-7700
-----------------------------------------------------
Fax | 908-925-7702
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 213 W SAINT GEORGES AVE
-----------------------------------------------------
City | LINDEN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07036-3948
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-925-7700
-----------------------------------------------------
Fax | 908-925-7702
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. RAMY ATTIA
-----------------------------------------------------
Credential | R.PH.
-----------------------------------------------------
Telephone | 908-925-7700
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------