# JERUSALEM PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467652057
- **Authorized official:** MR. YOUNIS RASHEED R.PH. (PHARMACIST IN CHARGE/OWNER)
- **Authorized official phone:** (210) 410-0002

## Contact information

- **Practice address:** 1414 MAIN AVE, CLIFTON, NJ 07011-2157
- **Practice address phone:** (973) 340-6200
- **Practice address fax:** (973) 340-6204
- **Mailing address:** 1414 MAIN AVE, CLIFTON, NJ 07011-2157
- **Mailing address phone:** (973) 340-6200
- **Mailing address fax:** (973) 340-6204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 28RS00670700 | NJ | Yes |

## Other

- **Enumeration date:** 07/20/2007
- **Last updated:** 07/31/2008
