# DIAMOND BRIDGE PHARMACY LLC

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

## Provider details

- **NPI number:** 1609949544
- **Authorized official:** ARCHIT PATEL (SOLE MEMBER)
- **Authorized official phone:** (973) 722-6664

## Contact information

- **Practice address:** 293 LAFAYETTE AVE STE 100, HAWTHORNE, NJ 07506-2033
- **Practice address phone:** (973) 427-1234
- **Practice address fax:** (973) 427-6624
- **Mailing address:** 293 LAFAYETTE AVE STE 100, HAWTHORNE, NJ 07506-2033
- **Mailing address phone:** (973) 427-1234
- **Mailing address fax:** (973) 427-6624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00372200 | NJ | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 01/09/2025