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NPI Code Detail

MEDICARE: VERONA PHARMACY INC

MEDICARE: VERONA 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
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy28RS00669000NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
128RS00669000OTHERNJSTATE LIC

General Provider Information

NPI Number : 1992731624
Entity Type Code : Organization
Provider Name (Legal Business Name) : VERONA PHARMACY INC
Provider Business Mailing Address
First Line : 739 COMMUNIPAW AVE UNIT A
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07304-1707
Country : US
Telephone Number : 201-946-9500
Fax Number : 201-946-9700
Provider Business Practice Location Address
First Line : 739 COMMUNIPAW AVE UNIT A
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07304-1707
Country : US
Telephone Number : 201-946-9500
Fax Number : 201-946-9700
Authorized Official
Title or Position : PRESIDENT
Name : ASHRAF ASHAMALLA
Credential :
Telephone Number : 201-993-0978
Provider Enumeration Date : 06/24/2006
Last Update Date : 05/21/2024

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Directions to “VERONA PHARMACY INC ” Practice Location

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