# MINA PHARMACY CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ST MARK PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811018377
- **Authorized official:** SAID MAKAR (OWNER AND PHARMACIST)
- **Authorized official phone:** (201) 792-9881

## Contact information

- **Practice address:** 875 BERGEN AVE, JERSEY CITY, NJ 07306-4405
- **Practice address phone:** (201) 792-9881
- **Practice address fax:** (201) 792-9882
- **Mailing address:** 875 BERGEN AVE, JERSEY CITY, NJ 07306-4405
- **Mailing address phone:** (201) 792-9881
- **Mailing address fax:** (201) 792-9882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00626300 | NJ | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 07/10/2014
