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Samuel P Rua

Pharmacist in Riverside, NJ. Organization (NPI-2).

NPI number1750488441
StatusActive
Last updated in NPPESJun 16, 2008

Details

NPI
1750488441
Entity type
Organization (NPI-2)
Legal business name
Samuel P Rua
Organization subpart
No
Enumeration date
Sep 17, 2006
Last updated
Jun 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist28RS00345700NJYes

Other names

  • Paramount Drug (Doing Business As)

Practice location

54 E Scott St
Riverside, NJ 08075-3616

Phone 856-461-0953 · Fax 856-461-6443

Mailing address

54 E Scott St
Riverside, NJ 08075-3616

Phone 856-461-0953 · Fax 856-461-6443

Authorized official

Samuel P Rua
Owner/Pharmacist
8564610953

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