# OBENG PHARMACY LLC

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

## Provider details

- **NPI number:** 1538557178
- **Authorized official:** ADJE KOFFI (CEO)
- **Authorized official phone:** (862) 237-7601

## Contact information

- **Practice address:** 671 MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102-1186
- **Practice address phone:** (862) 237-7601
- **Practice address fax:** (862) 237-7603
- **Mailing address:** 671 MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102-1186
- **Mailing address phone:** (862) 237-7601
- **Mailing address fax:** (862) 237-7603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00737900 | NJ | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 01/06/2015
- **Last updated:** 01/04/2016