| NPI | 1912908773 |
|---|---|
| Doing Business As | DEROSA PHARMACY AND HOME HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | PURNIMA SHAILESH SHAH Vice President 973-482-6753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NJ 4332504) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 3019705) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NJ 0035360) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2011-11-07 |