# I CARE PASSAIC PHARMACY CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** I Care Passaic Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861093395
- **Authorized official:** MAHMOUD MEDHAT ALI (OWNER)
- **Authorized official phone:** (973) 396-8918

## Contact information

- **Practice address:** 38 MARKET ST, PASSAIC, NJ 07055-7404
- **Practice address phone:** (973) 396-8918
- **Mailing address:** 38 MARKET ST, PASSAIC, NJ 07055-7404
- **Mailing address phone:** (973) 396-8918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/02/2020
- **Last updated:** 01/18/2021