# HARRYS DREAM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134636517
- **Authorized official:** MR. HITENDRAKUMAR PATEL RPH (PHARMACIST/OWNER)
- **Authorized official phone:** (856) 983-1600

## Contact information

- **Practice address:** 1 EVES DR STE 101, MARLTON, NJ 08053-3125
- **Practice address phone:** (856) 983-1600
- **Practice address fax:** (856) 983-1654
- **Mailing address:** 111 BUNNING DR, VOORHEES, NJ 08043-4163
- **Mailing address phone:** (718) 702-7163
- **Mailing address fax:** (856) 983-1654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00759400 | NJ | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 01/07/2018
- **Last updated:** 01/07/2018