Passaic Valley Medical Pharmacy Llc

NPI 1215316641 - Pharmacy - 3336C0003X

NPI Details
NPI 1215316641
Enumeration Date 05/19/2015
Last Updated 08/31/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name KUSH KUSH
Position PRESIDENT
Phone (973) 256-0222
Fax (973) 256-4222
Practice Location
1225 MCBRIDE AVE
SUITE 112
WOODLAND PARK NJ, 07424-3812, US
Phone (973) 256-0222
Fax (973) 256-4222
Business Location
1225 MCBRIDE AVE
SUITE 112
WOODLAND PARK NJ, 07424-3812, US
Phone (973) 256-0222
Fax (973) 256-4222
Toxanomy
Taxonomy Code 3336C0003X
License State New Jersey
License Number 28RS00740700
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According to our database, Passaic Valley Medical Pharmacy Llc NPI is 1215316641, taxonomy code is 3336C0003X and license number is 28RS00740700, license state is located at New Jersey. Passaic Valley Medical Pharmacy Llc physically located at 1225 Mcbride Ave, Woodland Park NJ, 07424-3812. NPI Number 1033115704 has the healthcare provider type.

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1215316641 NPI number is provided on an as is basis without warranty of any kind. 1215316641 is maintained by the National Plan & Provider Enumeration System. The contents of Passaic Valley Medical Pharmacy Llc are for informational purposes only.