# ORGANIX PHARMACY 11 LLC

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

## Provider details

- **NPI number:** 1679079131
- **Authorized official:** MOAMEN ADEL SALEM (OWNER)
- **Authorized official phone:** (973) 979-0096

## Contact information

- **Practice address:** 1010 MAIN ST \# A2, PATERSON, NJ 07503-2212
- **Practice address phone:** (862) 336-1013
- **Mailing address:** 1019 RINGWOOD AVE APT 4, HASKELL, NJ 07420-1457
- **Mailing address phone:** (973) 979-0096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 28RS00760900 | NJ | Yes |

## Other

- **Enumeration date:** 04/03/2018
- **Last updated:** 04/03/2018