# MAPLEWOOD VILLAGE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053285676
- **Authorized official:** MINA GIRGIS (MANAGER)
- **Authorized official phone:** (201) 515-7676

## Contact information

- **Practice address:** 101 BAKER ST UNIT B, MAPLEWOOD, NJ 07040-2782
- **Practice address phone:** (732) 234-0050
- **Practice address fax:** (732) 234-0049
- **Mailing address:** 101 BAKER ST UNIT B, MAPLEWOOD, NJ 07040-2782
- **Mailing address phone:** (732) 234-0050
- **Mailing address fax:** (732) 234-0049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/06/2025
- **Last updated:** 10/06/2025