MEDICARE: ABELS PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	28RS00483600	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700965779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABELS PHARMACY INC

Provider Business Mailing Address
First Line	:	357 TOTOWA AVE
Second Line	:
City	:	PATERSON
State	:	NJ
Zip	:	07502-2125
Country	:	US
Telephone Number	:	973-595-5656
Fax Number	:	973-595-0352

Provider Business Practice Location Address
First Line	:	357 TOTOWA AVE
Second Line	:
City	:	PATERSON
State	:	NJ
Zip	:	07502-2125
Country	:	US
Telephone Number	:	973-595-5656
Fax Number	:	973-595-0352

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. LUIS ENRIQUE ORTEGA
Credential	:
Telephone Number	:	973-595-5656

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	02/13/2013

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Directions to “ABELS PHARMACY INC ” Practice Location

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