# PALMYRA PHARMACY LLC

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

## Provider details

- **NPI number:** 1689922569
- **Authorized official:** JITENKUMAR P NATHANI (PRESIDENT)
- **Authorized official phone:** (856) 786-1615

## Contact information

- **Practice address:** 1 E BROAD ST, PALMYRA, NJ 08065-1604
- **Practice address phone:** (856) 786-1615
- **Practice address fax:** (856) 786-2317
- **Mailing address:** 1 E BROAD ST, PALMYRA, NJ 08065-1604
- **Mailing address phone:** (856) 786-1615
- **Mailing address fax:** (856) 786-2317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00720700 | NJ | Yes |

## Other

- **Enumeration date:** 08/27/2012
- **Last updated:** 08/18/2020