Organization
BERGEN FAMILY PHARMACY, INC.
Active
Other names
PROMEDS NJ, Bergen Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAKSANA AMINOVA (PRESIDENT)
(201) 430-4420
Entity
Organization
Contact information
Practice address
5202 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5524
(201) 430-4420
(201) 430-4421
Mailing address
5202 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5524
(201) 430-4420
(201) 430-4421
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/20/2026
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