# JACKSON VILLAGE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hackensack Meridian Village Pharmacy, Meridian Village Pharmacy at Jackson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477955037
- **Authorized official:** MR. GABRIEL OUELLETTE PHARMACIST (MANAGER / OWNER)
- **Authorized official phone:** (860) 367-3387

## Contact information

- **Practice address:** 27 S COOKS BRIDGE RD STE 1-1, JACKSON, NJ 08527-2460
- **Practice address phone:** (732) 994-7387
- **Mailing address:** 27 S COOKS BRIDGE RD STE M1, JACKSON, NJ 08527-2443
- **Mailing address phone:** (732) 994-7387
- **Mailing address fax:** (732) 994-7389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NJ | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/25/2014
- **Last updated:** 02/12/2026