# PROGRESSIVE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** progressive pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073843926
- **Authorized official:** DR. HECTOR ROCCO GIANCARLO MD (OWNER)
- **Authorized official phone:** (201) 825-0660

## Contact information

- **Practice address:** 85 HARRETON RD, ALLENDALE, NJ 07401-1317
- **Practice address phone:** (201) 785-0200
- **Practice address fax:** (201) 785-0208
- **Mailing address:** 85 HARRETON RD, ALLENDALE, NJ 07401-1317
- **Mailing address phone:** (201) 785-0200
- **Mailing address fax:** (201) 785-0208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 28RS00700000 | NJ | Yes |

## Other

- **Enumeration date:** 12/28/2009
- **Last updated:** 12/28/2009
