| Rutgers Pharmacy Newark | |
|
249 University Ave Newark NJ 07102-1808 | |
| (973) 353-5201 | |
| (973) 353-1390 |
| Full Name | Rutgers Pharmacy Newark |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 249 University Ave, Newark, New Jersey |
| Authorized Official Name and Position | Jose Devassy Pullockaran (CHIEF PHARMACIST) |
| Authorized Official Contact | 9733535201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rutgers Pharmacy Newark 249 University Ave Newark NJ 07102-1808 Ph: (973) 353-5201 | Rutgers Pharmacy Newark 249 University Ave Newark NJ 07102-1808 Ph: (973) 353-5201 |
| NPI Number | 1124167580 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124167580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | 28RS00306800 (New Jersey) | Primary |
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