Provider Information for 1255033965
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MAASP INC
Other Names:Doing Business As:MAA PHARMACY DEPARTMENTOrganization Subpart: NO
NPI: 1255033965
Last Updated: 2023-12-15
Certification Date: 2023-12-15
Certification Date: 2023-12-15
Details
Name | Value | ||||||||
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NPI | 1255033965 | ||||||||
Enumeration Date | 2023-03-20 | ||||||||
NPI Type | NPI-2 Organization | ||||||||
Status | Active | ||||||||
Authorized Official Information | Name: Mr. MOHAMMED ASHRAFUL ISLAM MI Title: VP Phone: 9739140559 | ||||||||
Mailing Address | 282 UNION AVE PATERSON, NJ 07502-2092 United States Phone: 973-302-9030 | Fax:973-520-2076 | ||||||||
Primary Practice Address | 282 UNION AVE PATERSON, NJ 07502-2092 United States Phone: 973-302-9030 | Fax:973-520-2076 | ||||||||
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