# MA KHODAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FIRST AID PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700176260
- **Authorized official:** JIGNESH PATEL (PHARMACIST IN CHARGE)
- **Authorized official phone:** (215) 245-1035

## Contact information

- **Practice address:** 120 PASSAIC ST, HACKENSACK, NJ 07601-4316
- **Practice address phone:** (201) 880-7987
- **Practice address fax:** (201) 880-7989
- **Mailing address:** 120 PASSAIC ST, HACKENSACK, NJ 07601-4316
- **Mailing address phone:** (201) 880-7987
- **Mailing address fax:** (201) 880-7989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00713500 | NJ | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/18/2011
- **Last updated:** 04/03/2012