# MT PROSPECT PHARMACEUTICAL SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liss Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083717482
- **Authorized official:** MR. MATTHEW JOSEPH PARISI JR. (OWNER)
- **Authorized official phone:** (973) 483-4749

## Contact information

- **Practice address:** 794 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3221
- **Practice address phone:** (973) 483-4749
- **Practice address fax:** (973) 482-0643
- **Mailing address:** 794 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3221
- **Mailing address phone:** (973) 483-4749
- **Mailing address fax:** (973) 482-0643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NJ | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00225300 | NJ | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 09/11/2017