# CRYSTAL DRUGS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NICKS DRUGS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124049184
- **Authorized official:** NARENDAR REDDY YASA (OWNER)
- **Authorized official phone:** (973) 596-1800

## Contact information

- **Practice address:** 179 MARKET ST, NEWARK, NJ 07102
- **Practice address phone:** (973) 596-1800
- **Practice address fax:** (973) 596-1849
- **Mailing address:** 179 MARKET ST, NEWARK, NJ 07102-3707
- **Mailing address phone:** (973) 596-1800
- **Mailing address fax:** (973) 596-1849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00659600 | NJ | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 06/06/2018