# PHARMARX

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

## Provider details

- **NPI number:** 1689047615
- **Authorized official:** HEMIL KHANDWALA (GENERAL MANAGER)
- **Authorized official phone:** (732) 979-2410

## Contact information

- **Practice address:** 275 HOBART ST, PERTH AMBOY, NJ 08861-3396
- **Practice address phone:** (732) 979-2410
- **Practice address fax:** (732) 979-2415
- **Mailing address:** 275 HOBART ST, PERTH AMBOY, NJ 08861-3396
- **Mailing address phone:** (732) 979-2410
- **Mailing address fax:** (732) 979-2415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00745200 | NJ | Yes |

## Other

- **Enumeration date:** 11/13/2015
- **Last updated:** 10/24/2016