# MAIN AVENUE PHARMACY CORP

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

## Provider details

- **NPI number:** 1255623112
- **Authorized official:** NANCI LIENECK (OPERATIONS MANAGER)
- **Authorized official phone:** (973) 928-0208

## Contact information

- **Practice address:** 1094 MAIN AVE STE A, CLIFTON, NJ 07011-2384
- **Practice address phone:** (973) 928-0208
- **Mailing address:** 1094 MAIN AVE STE A, CLIFTON, NJ 07011-2384
- **Mailing address phone:** (973) 928-0208

## Taxonomy

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

## Other

- **Enumeration date:** 05/11/2011
- **Last updated:** 09/02/2015