# TEXAS ROAD OLD BRIDGE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** TEXAS ROAD PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003004904
- **Authorized official:** AMR HILLAL (OWNER)
- **Authorized official phone:** (732) 723-1101

## Contact information

- **Practice address:** 1183 ENGLISHTOWN RD, OLD BRIDGE, NJ 08857-1319
- **Practice address phone:** (732) 723-1101
- **Practice address fax:** (732) 723-1141
- **Mailing address:** 1183 ENGLISHTOWN RD, OLD BRIDGE, NJ 08857-1319
- **Mailing address phone:** (732) 723-1101
- **Mailing address fax:** (732) 723-1141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00674300 | NJ | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/05/2007
- **Last updated:** 11/03/2023