# ELMORA PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elmora Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558880252
- **Authorized official:** BENJAMIN HERTZ (STORE MANAGER)
- **Authorized official phone:** (908) 352-8808

## Contact information

- **Practice address:** 162 ELMORA AVE, ELIZABETH, NJ 07202-1148
- **Practice address phone:** (908) 352-8808
- **Practice address fax:** (908) 352-5621
- **Mailing address:** 162 ELMORA AVE, ELIZABETH, NJ 07202-1148
- **Mailing address phone:** (908) 352-8808
- **Mailing address fax:** (908) 352-5621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 09/13/2017
- **Last updated:** 07/21/2022