# ST PAUL PHARMACY LLC

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

## Provider details

- **NPI number:** 1083454359
- **Authorized official:** WAEL NABIL ISAAC (OWNER)
- **Authorized official phone:** (718) 210-6113

## Contact information

- **Practice address:** 123 GROVE ST, MONTCLAIR, NJ 07042-4021
- **Practice address phone:** (718) 210-6113
- **Mailing address:** 123 GROVE ST, MONTCLAIR, NJ 07042-4092
- **Mailing address phone:** (718) 210-6113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/25/2024
- **Last updated:** 02/27/2025