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Organization
ORGANIX PHARMACY 11 LLC
Active
Organization
ORGANIX PHARMACY 11 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOAMEN ADEL SALEM (OWNER)
(973) 979-0096
Entity
Organization
Contact information
Practice address
1010 MAIN ST # A2, PATERSON, NJ 07503-2212
(862) 336-1013
Mailing address
1019 RINGWOOD AVE APT 4, HASKELL, NJ 07420-1457
(973) 979-0096
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00760900
NJ
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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