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Organization
MT PROSPECT PHARMACEUTICAL SERVICES INC
Active
Organization
MT PROSPECT PHARMACEUTICAL SERVICES INC
Active
Other names
Liss Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW JOSEPH PARISI JR. (OWNER)
(973) 483-4749
Entity
Organization
Contact information
Practice address
794 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3221
(973) 483-4749
(973) 482-0643
Mailing address
794 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3221
(973) 483-4749
(973) 482-0643
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NJ
3336C0003X
Community/Retail Pharmacy
Primary
28RS00225300
NJ
Other
Enumeration date
09/07/2006
Last updated
09/11/2017
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