# CLIFTON PHARMACY RX LLC

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

## Provider details

- **NPI number:** 1316446594
- **Authorized official:** USMAN TANVIR (OWNER/PRESIDENT/AO)
- **Authorized official phone:** (862) 225-9726

## Contact information

- **Practice address:** 261 CLIFTON AVE, CLIFTON, NJ 07011-1842
- **Practice address phone:** (862) 225-9726
- **Practice address fax:** (862) 225-9728
- **Mailing address:** 261 CLIFTON AVE, CLIFTON, NJ 07011-1842
- **Mailing address phone:** (862) 225-9726
- **Mailing address fax:** (862) 225-9728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00761200 | NJ | Yes |

## Other

- **Enumeration date:** 02/02/2018
- **Last updated:** 04/25/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2175884 | PK | — |