# 4 COMMUNITY PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pharmacy Plus & Surgical Supplies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790392751
- **Authorized official:** KHALID M BADER (OWNER)
- **Authorized official phone:** (201) 757-9664

## Contact information

- **Practice address:** 900 MAIN ST, PATERSON, NJ 07503-2619
- **Practice address phone:** (862) 257-9990
- **Mailing address:** 900 MAIN ST, PATERSON, NJ 07503-2619
- **Mailing address phone:** (862) 257-9990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/24/2020
- **Last updated:** 09/24/2020