# TERRACE APOTHECARY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HAWORTH APOTHECARY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548249717
- **Authorized official:** MR. WESTLEY V WALLER III PHARMD (PRESIDENT)
- **Authorized official phone:** (201) 384-7171

## Contact information

- **Practice address:** 169 TERRACE ST, HAWORTH, NJ 07641-1835
- **Practice address phone:** (201) 384-7171
- **Practice address fax:** (201) 384-4433
- **Mailing address:** 169 TERRACE ST, HAWORTH, NJ 07641-1835
- **Mailing address phone:** (201) 384-7171
- **Mailing address fax:** (201) 384-4433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 28RS00478500 | NJ | Yes |

## Other

- **Enumeration date:** 01/16/2006
- **Last updated:** 11/18/2016
