# HOLY NAME MEDICAL CENTER

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

## Provider details

- **NPI number:** 1386022481
- **Authorized official:** DR. NANCY PALAMARA PHARM.D. (DIRECTOR OF PHARMACY, R.P,I.C.)
- **Authorized official phone:** (201) 833-7136

## Contact information

- **Practice address:** 718 TEANECK RD, PHARMACY DEPT., TEANECK, NJ 07666-4245
- **Practice address phone:** (201) 833-3055
- **Practice address fax:** (201) 227-6048
- **Mailing address:** 718 TEANECK RD, PHARMACY DEPT., TEANECK, NJ 07666-4245
- **Mailing address phone:** (201) 833-3055
- **Mailing address fax:** (201) 227-6048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 28RS00066900 | NJ | Yes |

## Other

- **Enumeration date:** 05/11/2015
- **Last updated:** 05/11/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4135407 | — | NJ |