# ELIZABETH PHARMACY INC

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

## Provider details

- **NPI number:** 1811259716
- **Authorized official:** PRABODH AJBANI (SHAREHOLDER)
- **Authorized official phone:** (908) 527-1112

## Contact information

- **Practice address:** 638 BAYWAY AVE, ELIZABETH, NJ 07202-2613
- **Practice address phone:** (908) 527-1112
- **Practice address fax:** (908) 527-1155
- **Mailing address:** 638 BAYWAY AVE, ELIZABETH, NJ 07202-2613
- **Mailing address phone:** (908) 527-1112
- **Mailing address fax:** (908) 527-1155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00718500 | NJ | Yes |

## Other

- **Enumeration date:** 06/15/2012
- **Last updated:** 09/30/2016