# EPIC PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659174704
- **Authorized official:** MAXWELL ATTA (DIRECTOR)
- **Authorized official phone:** (800) 395-6577

## Contact information

- **Practice address:** 290 ELIZABETH AVE STE 20, NEWARK, NJ 07112-2706
- **Practice address phone:** (800) 395-6577
- **Mailing address:** 290 ELIZABETH AVE STE 20, NEWARK, NJ 07112-2706
- **Mailing address phone:** (800) 395-6577

## Taxonomy

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

## Other

- **Enumeration date:** 03/31/2025
- **Last updated:** 04/01/2025