# 21ST AVE PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TONYS PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336124593
- **Authorized official:** MR. ANTONIO ORESTES RODRIGUEZ (PRESIDENT)
- **Authorized official phone:** (973) 742-1235

## Contact information

- **Practice address:** 357 21ST AVE, PATERSON, NJ 07501-3642
- **Practice address phone:** (973) 742-1235
- **Practice address fax:** (973) 742-0353
- **Mailing address:** 357 21ST AVE, PATERSON, NJ 07501-3642
- **Mailing address phone:** (973) 742-1235
- **Mailing address fax:** (973) 742-0353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 28RS00334800 | NJ | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 28RS003348 | NJ | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS003348 | NJ | Yes |

## Other

- **Enumeration date:** 12/09/2005
- **Last updated:** 02/19/2009