# IPSN PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDAMOR PHARMACY DEPT.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194308080
- **Authorized official:** SRIPRIYA NANDI (MANAGING MEMBER)
- **Authorized official phone:** (973) 900-6990

## Contact information

- **Practice address:** 75 1ST ST, NEWARK, NJ 07107-3101
- **Practice address phone:** (973) 900-6990
- **Practice address fax:** (973) 900-6992
- **Mailing address:** 75 1ST ST, NEWARK, NJ 07107-3101
- **Mailing address phone:** (973) 900-6990
- **Mailing address fax:** (973) 900-6992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/29/2021
- **Last updated:** 08/31/2021