# BERGEN ROAD PHARMACY

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

## Provider details

- **NPI number:** 1134829773
- **Authorized official:** DR. IRFAN ALI PHARM D. (PRESIDENT)
- **Authorized official phone:** (917) 224-1652

## Contact information

- **Practice address:** 239 OLD BERGEN RD, JERSEY CITY, NJ 07305-2620
- **Practice address phone:** (201) 994-4065
- **Mailing address:** 239 OLD BERGEN RD, JERSEY CITY, NJ 07305-2620
- **Mailing address phone:** (201) 434-8062
- **Mailing address fax:** (201) 434-7596

## Taxonomy

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

## Other

- **Enumeration date:** 03/02/2023
- **Last updated:** 12/13/2023