# CHANCELLOR PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** chancellor pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174805774
- **Authorized official:** RINABEN PATEL (PRESIDENT/PHARMACY SUPERVISOR)
- **Authorized official phone:** (973) 399-2700

## Contact information

- **Practice address:** 894 CHANCELLOR AVE, IRVINGTON, NJ 07111-1214
- **Practice address phone:** (973) 399-2700
- **Practice address fax:** (973) 399-2701
- **Mailing address:** 894 CHANCELLOR AVE, IRVINGTON, NJ 07111-1214
- **Mailing address phone:** (973) 399-2700
- **Mailing address fax:** (973) 399-2701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00714200 | NJ | Yes |

## Other

- **Enumeration date:** 09/09/2011
- **Last updated:** 04/17/2017