Organization
MONTCLAIR PHARMACY RX LLC
Active
Other names
Montclair Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HEMA PATEL (OWNER)
(813) 304-2221
Entity
Organization
Contact information
Practice address
732 VALLEY RD, UPPER MONTCLAIR, NJ 07043-1521
(973) 744-2113
(973) 744-2691
Mailing address
732 VALLEY ROAD, UPPER MONTCLAIR, NJ 07043
(973) 744-2113
(973) 744-2691
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2056802
PK
—
05
—
4248210
—
NJ
Enumeration date
06/22/2006
Last updated
05/25/2023
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