# PCA-LTC PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** pca-ltc pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467719005
- **Authorized official:** GARY SEKULSKI (PRESIDENT)
- **Authorized official phone:** (973) 453-4666

## Contact information

- **Practice address:** 66 FORD RD STE 220, DENVILLE, NJ 07834-1300
- **Practice address phone:** (973) 453-4666
- **Practice address fax:** (973) 983-5684
- **Mailing address:** 66 FORD RD, SUITE 220, DENVILLE, NJ 07834-1379
- **Mailing address phone:** (973) 453-4666
- **Mailing address fax:** (973) 983-5684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 28RS00718400 | NJ | Yes |

## Other

- **Enumeration date:** 04/20/2012
- **Last updated:** 05/11/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3198694 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |