# CLARK COMMUNITY PHARMACY LLC

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

## Provider details

- **NPI number:** 1902710551
- **Authorized official:** HANY WALY (MEMBER)
- **Authorized official phone:** (201) 255-4555

## Contact information

- **Practice address:** 1057 RARITAN RD, CLARK, NJ 07066-1316
- **Practice address phone:** (201) 255-4555
- **Practice address fax:** (201) 502-2322
- **Mailing address:** 1057 RARITAN RD, CLARK, NJ 07066-1316

## Taxonomy

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

## Other

- **Enumeration date:** 09/30/2026
- **Last updated:** 09/30/2026
