# CLINTON PHARMACY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinton Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194837377
- **Authorized official:** HAFIZ REHMAN (OWNER)
- **Authorized official phone:** (908) 735-5316

## Contact information

- **Practice address:** 30 MAIN ST, CLINTON, NJ 08809-1328
- **Practice address phone:** (908) 735-5316
- **Practice address fax:** (908) 735-7945
- **Mailing address:** 30 MAIN ST, CLINTON, NJ 08809-1328
- **Mailing address phone:** (908) 735-5316
- **Mailing address fax:** (908) 735-7945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 28RS00447400 | NJ | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00447400 | NJ | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | 28RS00447400 | NJ | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 01/03/2024