# MT PROSPECT PHARMACY CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881534642
- **Authorized official:** AQSA KHAN (PRESIDENT)
- **Authorized official phone:** (862) 240-9601

## Contact information

- **Practice address:** 654 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3110
- **Practice address phone:** (862) 240-9601
- **Practice address fax:** (862) 240-9603
- **Mailing address:** 654 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3110
- **Mailing address phone:** (862) 240-9601
- **Mailing address fax:** (862) 240-9603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/31/2026
- **Last updated:** 03/31/2026