MEDICARE: FARMACIA UNION

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	28RS00715200	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2132448	OTHER		PK

General Provider Information

NPI Number	:	1932486784
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMACIA UNION

Provider Business Mailing Address
First Line	:	406 37TH ST
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-4804
Country	:	US
Telephone Number	:	201-758-7300
Fax Number	:	201-758-7303

Provider Business Practice Location Address
First Line	:	406 37TH ST
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-4804
Country	:	US
Telephone Number	:	201-758-7300
Fax Number	:	201-758-7303

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	VANESSA VALCARCEL
Credential	:
Telephone Number	:	201-758-7300

Provider Enumeration Date	:	11/08/2011
Last Update Date	:	07/10/2014

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Directions to “FARMACIA UNION ” Practice Location

Language	Start Address	Practice Location

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