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200 Chestnut St LLC — NPI 1508801713, Roselle Park, NJ | NPI Central

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NPI 1508801713

OrganizationActive

200 Chestnut St LLC

NPI 1508801713 · Community/Retail Pharmacy · Roselle Park, NJ

Provider details

NPI number: 1508801713
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Sanjay Shah, Pharmacist in Charge(908) 245-1396

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense 28RS00660900 (NJ)
Suppliers
Pharmacy333600000X
Suppliers

Practice location

200 Chestnut St

Roselle Park, NJ 07204-2263

Phone: (908) 245-1396

Fax: (908) 245-1616

Approximate (ZIP-level) locationGet directions

More NJ providers

Mailing address

200 Chestnut St

Roselle Park, NJ 07204-2263

Other names (DBA / former)

Doing business as: Roselle Park Rita Pharmacy

Registry dates

Enumerated: 2006-06-19
Last updated: 2017-02-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.