# DRUG FAIR OF EAST RUTHERFOD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DRUG FAIR OF EAST RUTHERFORD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396914156
- **Authorized official:** TIMOTHY LABEAU (CEO)
- **Authorized official phone:** (732) 748-8900

## Contact information

- **Practice address:** LIBERTY COMMONS 51 ROUTE 17 SOUTH, EAST RUTHERFORD, NJ 07073
- **Practice address phone:** (201) 531-9901
- **Practice address fax:** (210) 531-9919
- **Mailing address:** LIBERTY COMMONS 51 ROUTE 17 SOUTH, EAST RUTHERFORD, NJ 07073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00678400 | NJ | Yes |

## Other

- **Enumeration date:** 02/26/2008
- **Last updated:** 04/09/2008
