# PHARMTASTIC PHARMACY INC

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

## Provider details

- **NPI number:** 1992122188
- **Authorized official:** MOHAMED DATOO (PHARMACIST IN CHARGE)
- **Authorized official phone:** (973) 864-7892

## Contact information

- **Practice address:** 831 STATE ROUTE 10, WHIPPANY, NJ 07981-1154
- **Practice address phone:** (973) 739-4770
- **Practice address fax:** (973) 739-4774
- **Mailing address:** 831 ROUTE 10, WHIPPANY, NJ 07981-1154
- **Mailing address phone:** (973) 739-4770
- **Mailing address fax:** (973) 739-4774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00732000 | NJ | Yes |

## Other

- **Enumeration date:** 03/25/2014
- **Last updated:** 06/18/2015