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Organization
PSM RX LLC
Active
Organization
PSM RX LLC
Active
Other names
MARKET STREET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MUKESH PATEL (MANAGING MEMBER/OWNER)
(908) 553-6222
Entity
Organization
Contact information
Practice address
93 MARKET ST, PASSAIC, NJ 07055-7502
(973) 955-4950
(973) 955-4951
Mailing address
54 TODD CIR, NORTH BRUNSWICK, NJ 08902-5014
(973) 955-4950
(973) 955-4951
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00750100
NJ
Other
Enumeration date
07/16/2016
Last updated
01/29/2020
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