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Organization
FIVE TOWNS PHARMACY LLC
Active
Organization
FIVE TOWNS PHARMACY LLC
Active
Other names
Invictus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEYER DAVIDOFF PHARMD, RPH (CEO)
(201) 880-7000
Entity
Organization
Contact information
Practice address
60 ESSEX ST STE 105, ROCHELLE PARK, NJ 07662-4347
(201) 880-7000
(201) 880-7094
Mailing address
60 ESSEX ST STE 105, ROCHELLE PARK, NJ 07662-4347
(201) 880-7000
(201) 880-7094
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00759500
NJ
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036775
PHARMACY LICENSE
NY
05
—
0605867
—
NJ
01
—
2173100
PK
—
Enumeration date
10/18/2017
Last updated
10/19/2020
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