# MEDINA PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Omar's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043192776
- **Authorized official:** RABIA SHAHID (PRESIDENT)
- **Authorized official phone:** (929) 476-0700

## Contact information

- **Practice address:** 540 STRAIGHT ST, PATERSON, NJ 07503-3239
- **Practice address phone:** (862) 297-9111
- **Mailing address:** 540 STRAIGHT ST, PATERSON, NJ 07503-3239
- **Mailing address phone:** (862) 297-9111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/23/2025
- **Last updated:** 07/23/2025