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Organization
PASSAIC COMMUNITY PHARMACY INC
Active
Organization
PASSAIC COMMUNITY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSAMA AWAD (OFFICER)
(973) 471-0160
Entity
Organization
Contact information
Practice address
339 PASSAIC ST, PASSAIC, NJ 07055-5818
(973) 471-0160
(973) 471-0110
Mailing address
339 PASSAIC ST, PASSAIC, NJ 07055-5818
(973) 471-0160
(973) 471-0110
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00592100
NJ
Other
Enumeration date
12/15/2006
Last updated
02/15/2012
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