# PRANAV PHARMA INC

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

## Provider details

- **NPI number:** 1932114337
- **Authorized official:** DUSHYANTH NANNAPANENNI RPH (PIC)
- **Authorized official phone:** (201) 488-1230

## Contact information

- **Practice address:** 441 PASSAIC ST, HACKENSACK, NJ 07601-1518
- **Practice address phone:** (201) 488-1230
- **Practice address fax:** (201) 488-6648
- **Mailing address:** 441 PASSAIC ST, HACKENSACK, NJ 07601-1518
- **Mailing address phone:** (201) 488-1230
- **Mailing address fax:** (201) 488-6648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00629300 | NJ | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 12/15/2011